Dachshund Rescue - Re-Homing Request Form

If you are considering rehoming a Dachshund, please complete the form below with as much detail as possible to help us to identify the perfect home for your dachshund. Once we receive this, your Dachshund Rescue Coordinator can begin to look for a suitable new home. We will be in touch shortly to guide you through the next steps.

Fields marked * are required

Your Details

First Name *

Last Name *

Address *

Town/City *

County *

Postcode *

Email *

Phone Number *

Dog Details

Name of Dog *

Reason for re-homing *

Sex *

Male

Female

Age of Dog *

Colour*

Are you the registered owner? *

Yes

If you are not the registered owner, provide details

Neutered? *

Yes

Size *

Miniature

Standard

Type *

Long-haired

Smooth

Wire Haired

Microchip Number

KC Registered Name, if known

KC Registered Number, if known

Dog Health Details

Breeder name and address, if known

Breeder contacted?

Yes

Dog is vaccinated? *

Yes

PRA status, if known

N/A

Clear

Carrier

At Risk

Laforas status, if known

N/A

Clear

Carrier

At Risk

Existing Health Conditions? *

Yes

If there are any existing health conditions, provide details

More Details

House Trained? *

Yes

Gets Travel Sick? *

Yes

Used to Cats? *

Yes

Used to a Garden? *

Yes

Used to Children? *

Yes

Used to other dogs? *

Yes

Guards Food/Toys? *

Yes

Digs Holes? *

Yes

Is Noisy? *

Yes

Walks on Lead? *

Yes

Comes When Called? *

Yes

Crate Trained? *

Yes

Is an escape artist? *

Yes

Ever bitten anyone? *

Yes

If they have ever bitten anyone, give details

Used to other pets? *

Yes

Is afraid of anything? *

Yes

If afraid of anything, give details

Veterinary Practice Name

Veterinary Practice Address

Veterinary Practice Post Code

Permission to contact vet? *

Yes

If there is any other relevant information, give details

I hereby confirm that all of the information I have supplied here is accurate & complete and that I have disclosed all relevant information *

Yes, I confirm *

Please note. If you have not received a confirmation email or if you do not hear back form us after a few days, please get in touch