SURRENDER FORM | Hampshire Paws

DOG & CAT SURRENDER FORM

Full Name

Full Address (inc. Postcode)

Date Of Birth

Contact Telephone Number

If dog, what breed are they?

What is the reason for the animal being surrendered?

How old is the animal?

Does the animal have any health conditions? If so please specify

Has the animal been neutered?

Has the animal been microchipped and are the details up to date?

Is the animal fully vaccinated and up to date?

Is the animal currently living inside or outside? Please specify

Does the cat use a litter tray inside?

Does the cat have any behavioural issues or stress related issues?

Who is the cat currently living with? Number of adults, children, other animals

Does the dog have a bite history? Please specify

Does the dog display separation anxiety? Please specify

Is the dog an excessive barker? Please specify

Is the dog reactive to traffic? Please explain in detail the dogs daily routine, length of walks (if walked) and general behaviour- Please specify

Has the dog lived with children? Please specify

Is the dog reactive to people , dogs or cats? Who is the dog currently living with? Number of adults, children, other animals Please specify

Is the dog toilet trained? Please specify

Is the dog destructive? Please specify

Does the dog travel well in the car? Please specify

Does the dog guard the home/garden? Please specify

Is the dog happy to be brushed and handled? Please specify

Would you be happy for a volunteer to complete an in person assessment of the dog within your home?

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Thanks for submitting your application! Please check your emails for confirmation of submission. We hope you understand that our team operate voluntary - We receive many applications every day and we aim to get back to you within 7 working days.

DOG & CAT SURRENDER FORM

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