Rehoming Your Dog Form

Name*

First Last

Address*

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

Home Phone Number*

Mobile Phone Number*

Email Address*

Other than the person detailed on this form are there any other legal owners of the dog who should be advised of this request to be rehomed?*

Please give details*

Name of dog:*

Age of dog:*

Sex of dog:*

Coat length:*

Coat colour:*

Is dog a GSD cross:*

Please give details*

Is dog microchipped:*

Is dog neutered or spayed:*

If entire bitch please give approx. date of last season:*

Please give details

If entire bitch has she ever had pups?:*

Please give details*

Please give details of when or if there is a change dog could be pregnant

Is dog in date for annual vaccinations:*

Is dog insured?*

When is annual booster due?*

Reason for rehoming dog?*

Please give details

How long have you owned this dog?*

Please give details

Where did this dog come from?*

Please give further details*

Have you had this dog from pup?*

Is dog used to living with another dog?*

Please give further details*

Is dog used to living with a cat?*

Please give further details*

Is dog used to living with children?*

Please give further details*

Is dog housetrained?*

How long is dog comfortably used to being left for?*

Does the dog have any of the following issues:

Please give us as much accurate information as possible

Separation anxiety*

Food aggression*

Toy aggression*

Anxious of strangers (inside home)*

Anxious of strangers (outside home)*

Reactive to other dogs (outside home)*

Reactive to cats (outside home)*

Mouthing*

Does your dog bark excessively?*

Please give further details*

Has your dog ever bitten (not puppy mouthing)?*

Please give further details*

Does your dog pull on lead?*

Please give further details*

Does your dog have good recall when off lead?*

Please give further details*

Has your dog ever been to training classes?*

Please give further details*

Does the dog have any medical conditions we need to be aware of? (allergies / travel sickness etc)?*

Please give further details*

Is your dog registered with a vet?*

You will need to contact your vet to give your permission to release dog’s vet record to GSRS.

Please give further details*

Have you contacted any other rescues to rehome your dog?*

Please give further details*

Do you have a vehicle to transport your dog to rescue?*

Does your dog travel well in car?*

Please give further details*

Are you able to make a donation to GSRS for rehoming your dog?*

Additional info you may wish to include:*

Phone

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

Does the dog have any of the following issues:

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