WHAT IS
YOUR DOG CALLED
WHAT IS THE
MICROCHIP NUMBER
NOT
CHIPPED
OWNERS DETAILS
CURRENT
OWNERS NAME
CURRENT
OWNERS ADDRESS
Post Code:
SELECT
AB
AL
B
BA
BB
BD
BH
BL
BN
BR
BS
CA
CB
CF
CH
CM
CO
CR
CT
CV
CW
DA
DD
DE
DG
DH
DL
DN
DT
DY
E
EC
EH
EN
EX
FK
FY
G
GL
GU
HA
HD
HG
HP
HR
HS
HU
HX
IG
IP
IV
KA
KT
KW
KY
L
LA
LD
LE
LL
LN
LS
LU
M
ME
MK
ML
N
NE
NG
NN
NP
NR
NW
OL
OX
PA
PE
PH
PL
PO
PR
RG
RH
RM
S
SA
SE
SG
SK
SL
SM
SN
SO
SP
SR
SS
ST
SW
SY
TA
TD
TF
TN
TQ
TR
TS
TW
UB
W
WA
WC
WD
WF
WN
WR
WS
WV
YO
ZE
DAY TIME
TELEPHONE
Home
Work
EVENING
TELEPHONE
Home
Work
MOBILE
PHONE NUMBER
EMAIL
ADDRESS
REHOMING DETAILS
WHAT IS THE
REASON FOR THIS REHOMING
HOW LONG
HAVE YOU OWNED THIS DOG FOR
PLEASE SELECT
Less than a week
Less than a month
Less than a year
1 year
2 years
3 years
4 years
5 years
6 years
7 years
8 years
9 years
10 years
11 years
12 years
13 years
14 years
ARE YOU
OBLIGED TO RETURN HIM TO WHERE HE CAME FROM (PLEASE CHECK YOUR
CONTRACT OF SALE)
WHERE DID
YOU GET HIM FROM
DOG'S DETAILS
HOW OLD IS
YOUR DOG
PLEASE SELECT
Under 6 months
6-12 months
1 year old
2 years old
3 years old
4 years old
5 years old
6 years old
7 years old
8 years old
9 years old
10 years old
11 years old
12 years old
13 years old
14 years old
15 years old
WHAT IS
YOUR DOGS DATE OF BIRTH
WHAT COLOUR
IS HE
PLEASE SELECT
Red and White
White and Red Pied
Fawn and White
White and Fawn Pied
Brindle and White
White and Brindle Pied
White
Black and White
Black Fawn and White
WHEN WAS
YOUR DOG LAST VACCINATED
WHEN WAS HE
LAST WORMED
WHEN WAS HE
LAST DE-FLEAD
WHAT SEX IS
YOUR DOG
PLEASE SELECT
CASTRATED MALE
ENTIRE MALE
MALE WITH ONE RETAINED TESTICLE
MALE WITH TWO RETAINED TESTICLES
SPAYED BITCH
ENTIRE BITCH
WHEN YOUR
BITCH LAST IN SEASON
HEALTH INFORMATION
WHAT HEALTH
ISSUES DOES YOUR DOG HAVE?
WHAT
REGULAR MEDICATION DOES YOUR DOG TAKE?
WHAT IS
THIS MEDICATION FOR?
HAS YOUR
DOG HAD ANY SURGERY? IF SO, WHAT FOR
IS YOUR DOG
OK IN THE VET
WHO IS YOUR
DOG'S CURRENT VET
WHEN WAS
YOUR DOG LAST SEEN BY A VET
WHAT WAS
THIS VISIT FOR
WHAT IS
THEIR TELEPHONE NUMBER
BEHAVIOUR INFORMATION
DOES YOUR
DOG HAVE ANY BEHAVIOUR ISSUES? IF YES WHAT ARE THEY
IS YOUR DOG
HOUSE TRAINED
PLEASE SELECT
YES
NO
MOSTLY
DAY TIME ONLY
HOW LONG
CAN YOUR DOG BE LEFT ALONE
WHERE IS
YOUR DOG WHEN HE'S ON HIS OWN?
HAS YOUR
DOG EVER BEEN AGGRESSIVE TOWARDS PEOPLE?
PLEASE SELECT
IS AGGRESSIVE TO PEOPLE
GROWLED
SNAPPED
NEVER
If the answer is yes to this
question you cannot use the rehoming service and must call us 0871
200 2450 to discuss the rehoming of your dog
IF GROWLED,
SNAPPED OR BITTEN WHAT WERE THE CIRCUMSTANCES
PLEASE GIVE FURTHER DETAILS SURROUNDING THE INCIDENT
DOES YOUR
DOG MIND BEING MOVED BY HIS COLLAR
PLEASE SELECT
NO
YES GROWLS
YES SNAPS
IF YES PLEASE GIVE US MORE
INFORMATION
DOES YOUR
DOG MIND HAVING ITEMS TAKEN FROM HIM (IE: FOOD, TOYS, TROPHIES ETC)
PLEASE SELECT
NO
YES GROWLS
YES GUARDS
YES SNAPS
IF YES PLEASE GIVE US MORE
INFORMATION
IS THIS DOG AFRAID OF ANYTHING
Tick all that apply
BIN
LINERS
CARRIER
BAGS
HOOVER
IRONING
BOARDS
TIN
FOIL
BAKING
TRAYS
LAWN
MOWER
WASHING
MACHINES
THUNDER
FIREWORKS
ANYTHING
THAT'S MOVED
DOES HE
RUN
AWAY OR
ATTACK
DOES YOUR
DOG KNOW ANY OF THE FOLLOWING COMMANDS
SIT
DOWN
COME
IN
YOUR BED
LEAVE
IT
HAS YOUR
DOG EVER BEEN SHOWN
PLEASE SELECT
YES
NO
TRAINED BUT NEVER SHOWN
IS YOUR DOG
OK IN THE CAR
WHAT
IS NORMAL FOR YOUR DOG
HOW IS YOUR
BULLDOG'S BREATHING?
PLEASE SELECT
GOOD
OK BUT IS LOUD WHEN WALKED
OK BUT IS LOUD WHEN HOT
IS A NOISY BREATHER
PASSES OUT OR TURNS BLUE
GAGS ON FOOD
NEEDS SOFT PALATE SURGERY
HAS HAD SOFT PALATE SURGERY
WHAT DOES
YOUR DOG EAT
PLEASE SELECT
COMPLETE FOOD
TINNED AND MIXER FOOD
FRESH OR BARF DIET
WHAT BRAND
OF FOOD DOES HE EAT
WHAT TIME
DOES HE EAT
HOW MUCH
EXERCISE IS YOUR DOG USED TO
PLEASE SELECT
SHORT WALKS
LOVES WALKING
NOT KEEN ON WALKING
WON'T WALK
FINE ONCE OUT BUT NEEDS ENCOURAGEMENT
IS YOUR DOG
USED TO WALKING ...
PLEASE SELECT
... ON LEAD
... OFF LEAD
IS YOUR DOG
USED TO WEARING ...
PLEASE SELECT
... A COLLAR
... A HARNESS
WHERE IS
YOUR DOG DURING THE DAY
WHERE IS
YOUR DOG AT NIGHT
WHAT DOES
YOUR DOG SLEEP IN
PLEASE SELECT
DOG BED
SOFA OR ARMCHAIR
CRATE
ON A BLANKET
ON OWNERS BED
DOG'S OWN CHOICE
OUTSIDE
KENNEL
IS YOUR DOG
ALLOWED ON THE FURNITURE
PLEASE SELECT
YES
NO
NO BUT CREEPS UP IF ALONE
IS ALLOWED IN ONE CHAIR/SOFA
ISNT ALLOWED IN LOUNGE
LIVES OUTSIDE
KENNELLED
REHOMING PREFERENCES
DOES YOUR
DOG PREFER
PLEASE SELECT
MEN
WOMEN
EQUAL
WHAT IS
YOUR DOG LIKE WITH CHILDREN
PLEASE SELECT
LIVES WITH CHILDREN UNDER 5
LIVES WITH CHILDREN UNDER 10
LIVES WITH CHILDREN AGED 10-12
LIVES WITH TEENAGE CHILDREN
ONLY USED TO VISITING CHILDREN
NOT USED TO CHILDREN
DO NOT PLACE WITH CHILDREN
WHAT IS
YOUR DOG LIKE WITH OTHER DOGS
PLEASE SELECT
LIVES WITH DOGS AND IS FINE
IS ONLY USED TO VISITING DOGS
CAN BE PLACED WITH DOGS
CAN BE PLACED WITH DOGS OF OPPOSITE SEX
NOT SURE HAVE ONLY MET DOES OUT ON A WALK
DO NOT PLACE WITH OTHER DOGS
WHAT IS
YOUR DOG LIKE WITH CATS
PLEASE SELECT
LIVES WITH CATS AND IS FINE
LIVES WITH A CAT AND HATES IT
CAN BE PLACED WITH CATS
NOT SURE HAS NEVER MET A CAT
DO NOT PLACE WITH CATS
CAN YOU
CLEAN HIS FACE
PLEASE SELECT
YES
NO
HATES IT
RATHER NOT
CAN YOU
BRUSH HIM
PLEASE SELECT
YES
NO
HATES IT
RATHER NOT
CAN YOU
BATH HIM
PLEASE SELECT
YES
NO
HATES IT
RATHER NOT
GROOMER DOES IT
CAN YOU CUT
HIS NAILS
PLEASE SELECT
YES
NO
HATES IT
RATHER NOT
GROOMER DOES IT
VET DOES IT
TAKES 2
GETS AGGRESSIVE
IS THERE
ANYTHING ELSE THAT YOU THINK WILL HELP US
Please tell us the type of home you envisage for your
dog
Would you prefer him to be placed with: ( tick
all that apply )
Small
Children
Older
children
Teenage
Children
Visiting
Children
Other
Dogs
Cats
A
Working family A
single person
A
young family
A
middle aged family
A
retired family
Would this dog be
suitable as someone's first bulldog
PLEASE SELECT
YES
NO
This
information is true and accurate
This dog is legally mine to
rehome
I am acting on behalf of the
legal owner with their full consent
Your
Full Name:
Your
Full Name:
I have posted the following to
Bulldog Rescue, PO Box 18,
Midhurst, West Sussex, GU29 9YU
Microchip
Documents
Vaccination
Card
Photo
(if not emailed)
I have posted the KC Paperwork
to
Bulldog Rescue, PO Box 18,
Midhurst, West Sussex, GU29 9YU
PLEASE SELECT
YES
I DO NOT HAVE THE KC PAPERWORK FOR THIS DOG
Please Send us a
Photo of Your Dog Either by
email by clicking on the animated e and attaching your photo
Or if you'd prefer use
Photobucket
And paste the link that's generated here
WE MUST HAVE A
PHOTO OF YOUR BULLDOG
*DISCLAIMER
I
confirm that this dog is a pure bred bulldog and that I have given
Bulldog Rescue correct and accurate information regarding the
temperament, age and current state of health of my dog. I confirm
that this dog is in no way a public liability and that he/she has
never bitten a person or shown aggressive behaviour towards a human
at any time. I acknowledge that Bulldog Rescue will not accept
liability for any false information given and understand that should
my dog display aggressive behaviour after being rehomed he may be
euthanised.
I will inform Bulldog
Rescue immediately the dog has left my home in order for the
adoption process to be properly executed with the new owners. I
understand that Bulldog Rescue may charge an adoption fee in order
for them to help Bulldogs in need in the future and that I do not
expect any payment from the family selected or from Bulldog Rescue
I
accept that I will surrender all legal rights of ownership to the
above named bulldog and hereby acknowledge that these rights will
transfer to Bulldog Rescue upon him/her leaving my property.
I
confirm (This form will be rejected if you do not sign the
disclaimer)
*IF
YOUR REASON FOR REHOMING YOUR DOG IS BECAUSE YOU OR A MEMBER OF YOUR
FAMILY ARE SCARED OF HIM THEN YOU ARE NOT ABLE TO SIGN THE
DISCLAIMER. PLEASE CALL US FOR ADVICE
TICK
THIS BOX IF THIS REHOMING IS GENUINELY URGENT
Please tick
here if you DO NOT want us to put your bulldog on our web site (saying no may make the process longer)
Do not use web site
You can view a sample copy of the adoption form the new family will
be asked to sign HERE