Rehoming Application | Pointer Rescue Service

1Your Details

2Vetinary Details

3Dog Photos

Comments

This field is for validation purposes and should be left unchanged.

Name(Required)

First Last

Phone(Required)

Address(Required)

Street Address Address Line 2 City County Postal Code

Name of Dog Being Rehomed(Required)

Breed of Dog Being Rehomed(Required)

Age of Dog(Required)

Weight(Required)

Are you the Owner of the Dog?(Required)

How long have you had the dog?(Required)

If no please give details of your connection with the dog

Have you owned the dog since it was a puppy?(Required)

Please indicate where you got the dog from (ie breeders details)

If you you haven't had the dog since it was a puppy please give details of how you came by the dog(Required)

Please can you give details of whether the dog was homed in the UK or the country where the dog originated from.

Reason for Rehoming(Required)

Please describe the circumstances leading to this request for rehoming

How urgently is your need for the dog to be rehomed?(Required)

Dog personality notes(Required)

Please describe the dogs character - can you detail if they get along with other dogs (male and female), whether they are good with cats, have they been around children etc.

Do they show any signs of these behaviours?(Required)

Resource Guarding

Chewing

Biting

Nervous Agression

None of the Above

Do they have these basic training skills?(Required)

Come (good recall off lead)

Sit

Stay

Heel

None of the Above

Microchip Number

Is your Pointer neutered or spayed?(Required)

Does the dog have any medical conditions? Please detail any medication they are taking(Required)

Are they full vaccinated, wormed, treated for fleas etc?(Required)

Vetinary Practice Transfer

Do you give consent for the Pointer Rescue Service to request your veterinary practice to transfer medical history to us or grant permission for us to do so on your behalf?

Contact Vets?

I grant permission

Vetinary Practice Details

Name of Vetinary Practice(Required)

Veterinary Practice Phone Number(Required)

Veterinary Practice Email

Veterinary Practice Address(Required)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code

Document Uploads

Drop files here or

Accepted file types: doc, docx, pdf, jpg, png, Max. file size: 10 MB.

Please upload any documents you have related to medical history / vetinary documentation etc

Upload Photos

Upload Photos of the Dog

Drop files here or

Accepted file types: jpg, Max. file size: 10 MB, Max. files: 5.

Please upload pictures of the dog, ideally in landscape (Max. 5 photos)

Acknowledgement and Agreement

I, the undersigned, confirm that I have read, understood, and agree to abide by the terms and conditions outlined in this Rehoming Application.

Digital Signature

Your Name
Your Name
Your Name

I declare that the information submitted is accurate and complete. I understand that my electronic signature serves as my legally binding confirmation.

Date(Required)