1) Your Full Name:

2) Your Address::

3) Your Postcode:

4) Your Email:

5) Your Tel:

6) Name of Dog:

7) Age of Dog:

8) Dog’s description (select all three applicable answers):
MaleFemaleNeuteredEntire (not neutered)Full BoxerBoxer Cross

9) Your Dogs Colour:
RedBrindleWhite

10) If you are not the dog’s owner, please provide the owner’s name and contact details. If you are the owner, simply state “owner”:

11) How did you obtain the dog and how long ago did you get him/her?:

12) Why does the dog need to be rehomed?:

13) Please state any known health issues your dog has now or in the past:

14) Please provide the name and address of the dog’s current vet and the CHIP number if known and please ask your vet to email the clinical history of the dog to admin@boxerdogrescue.co.uk:

15) Is the dog the only dog living in the house?:
Yes (only dog)No 1 other dogNo more than 1 other dog

16) How often does your dog meet other dogs?:
NeverOccasionallyRegularlyAt least one a day

17) Describe how your dog behaves around other dogs. (Please describe both on lead and off lead behaviour):

18) Has/does the dog live(d) with children? (If so, please give details of ages and how it behaved with them):

19) Is the dog good with cats and other small animals?:
YesYes (Lives with a cat)No

20) Does the dog have any behavioural problems? (e.g. destructive when left, aggression towards people or dogs, possessive over food bowl, possessive over members of the family etc. or bitten any members of the family?):

21) Please describe the dog’s current training (select all applicable answers):
Toilet trainedCrate trainedTrained in basic commands (sit, stay etc.)Trained to walk well on leadThe dog requires basic training

22) Can the dog be left alone in the home for a couple of hours a day?:
NoYes

23) Is the dog destructive when left alone:
NoYes SometimesYes all then time

24) Please tell us a bit about the dog, give as much detail as possible to ensure we find the right type of home for them. Please include the dog’s history, likes and dislikes and any training the dog may need:

25) Please upload a photograph of the dog. This will be used to help find a suitable home, so a good quality photo is important. Please note – we are unable to proceed until we receive a photograph:

26) Please confirm that you have uploaded a photo. If you are unable to upload a photo please email one to admin@boxerdogrescue.co.uk:

I have uploaded a photoI cannot upload a photo so will email one to the team. I understand this form cannot be processed until a photograph is received.

27) Please confirm that you have downloaded the Declaration of Ownership PDF and will return it to us either by email admin@boxerdogrescue.co.uk or by post:

By EmailBy Post

Please download and complete the attached PDF document known as the “Declaration of Ownership” after submitting the form

Please print and return to us at admin@boxerdogrescue.co.uk or post to
BDRNE
PO Box 587   
Sale  
M33 0JL.