New Rehoming Form - Happy Tails Rehoming

Your Details

First Name *

Surname *

Address *

House Name or Number *

Post Code *

Town *

County *

Email Address *

Validate Email Address *

Phone *

GDPR Agreement - I consent to having this website store my submitted information so they can respond to my inquiry. *

Yes, I agree with the privacy policy.

Pet Details

Dog or Cat *DogCat

Pets name *

Sex *

Colour/Markings *

Spayed or Neutered *YesNo

Size *

Age *

How long have you had the dog or cat? *

Breed *

Microchip number. We will need this before we can take any cat and this needs to be registered with you or provide proof of ownership *

Please upload a picture of your pet

No file chosen

Is your dog or cat vaccinated *YesNo

If yes, please provide date of last vaccination

Is your dog or cat up to date with worming? *YesNo

Date of last treatmnet

Brand of wormer

Is your dog or cat up to date with flea treatment *YesNo

Date of last treatmnet

Brand of flea treatment

Where did you get the dog or cat *

Is the cat an indoor or outdoor dog or cat *

Is the dog or cat house trained and clean at night and during the day? *

Where does the dog or cat sleep *

Who currently lives at home with the dog or cat? Please give details *

Normal Diet *

Is the dog or cat good with adults *

Is the dog or cat good with children *

Is the dog or cat good with visitors *

Vets Details

Is the dog or cat registered with a Vet *YesNo

Do you give us permission to contact your vet? *YesNo

Vets Name

Street Name

Number or Building Name

Post Code

Town

County

Phone

Has your dog or cat any long term illness? If yes please disclose what the illness is (this will not stop us taking in your dog or cat) *YesNo

Please provide deatils

Have you contacted a vet or professional organisation regarding your dog or cats behaviour recently or in the past ? *YesNo

Please provide deatils

Have you been in touch or spoken with any other rescue or rehoming centres? *YesNo

Please provide details

Anything else that we should know about your dog or cat? *

What are your reasons for rehoming? Please give as much information as possible. *

Financial & Legal

Can you make a donation when bringing your dog or cat in, we rely on donations to operate our center *YesNo

If your dog or cat is not neutered or vaccinated would you be prepared to donate towards these costs *YesNo

By submitting this form you are agreeing that you have told us the truth about your dog or cat and have not withheld information that could put any persons or animals in danger when placed into our care, please confirm by typing yes in the box along with your full name in the box below *

Yes

Full Name *

Your Details

Pet Details

Vets Details

Financial & Legal

By submitting this form you are agreeing that you have told us the truth about your dog or cat and have not withheld information that could put any persons or animals in danger when placed into our care, please confirm by typing yes in the box along with your full name in the box below *

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