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 *

Dog Date of Birth, if known

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
(15 digit numerical codes only. If the microchip number is not this format, please leave this field blank, and let us know in the relevant information section at the bottom of this form)

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

Are there any specific triggers that increase your dogs behaviour?

House Trained? *

Yes

Does your dog toilet in the house? *

Yes

Sometimes

If sometimes, please explain:

Gets Travel Sick? *

Yes

How does your dog travel in a car? Please describe in the box below include howling, barking, sickness or anything else including if they are calm and quiet *

Used to Cats? *

Yes

Used to a Garden? *

Yes

Used to Children? *

Yes

Explain the frequency and age of children and how your dog responds

Used to other dogs? *

Yes

Is your dog comfortable and calm with? (Check all that apply) *

Resident dogs
Strange dogs in your home
Strange dogs outside your home
None of the above

Provide information regarding any specific dislikes *

Any additional information regarding the above guarding behaviours:

Digs Holes? *

Yes

Walks on Lead? *

Yes

Comes When Called? *

Yes

Sometimes

Crate Trained? *

Yes

Is an escape artist? *

Yes

Ever bitten anyone? *

Yes

Are there any known or ongoing police investigations? *

Yes

Used to other pets? *

Yes

Is afraid of anything? *

Yes

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 *

I understand that if I withdraw my dog from the rehoming process for any reason then I will be liable for any costs incurred by Dachshund Rescue UK including the cost of health checks or transport *

Yes, I understand *

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