PERTHSHIRE GUNDOG RESCUE

PROSPECTIVE HOME FORM

Thank you for your enquiry about giving a rescued gundog breed a forever new home. Please complete this form and return it to us at the above address. We will email confirmation of receipt as soon as we can. Thanks.

Your Name…………………………………………………………………………………………………………………

Address ……………………………………………………………………………………………………………………

………………………………………………………………………………Postcode……………………………………

Home Tel. . ………………………………………….…Work Tel …...……..………………………………….………..

Mobile ….………………………………………Email…………………………………………………………………..

What type of property do you live in? Do you have a fenced garden? YES/NO

Is your property rented? YES/NO If yes, do you have proof of landlord’s permission?YES/NO

Do you live in the Town or the Country? ..…………………... How high is the fence? …….……………….

Do you have your own transport? YES/NO Is the dog to live in the house/garage/outside?

Do you have the means to afford the upkeep of any dog, which is placed with you? YES/NO

Details of people living at the above address

Number / Age / Occupation / Hours worked
Adults
Children
Do children visit regularly? YES/NOIf so, what are their ages? ………………………………………….

Have you had a dog before? YES/NO Do you have a dog now? YES/NO

If yes please state breed …………………………. If yes, please state breed …………………

………………………………………………………… Age……………………..

………………………………………………………… Sex……………………..

Castrated/Spayed YES/NO

Have you any other pets?…………………………………………………………………………………………….

Preferred choice DOG/BITCH/EITHER? BREED......

Please indicate minimum age……………………….…. maximum age…………………………..…………..

Would you consider taking two dogs who have grown up together? YES/NO

Would you consider a Cross Breed? YES/NO

If we were unable to find the right dog immediately, would you consider fostering short term? YES/NO

(Please note that dogs under 5 will not normally be placed with people over 75 years of age)

Please think carefully: a dog is a long-term responsibility. Financial commitment for food, care and veterinary costs will be your responsibility as soon as a dog is placed with you. Perthshire Gundog Rescuestrongly recommends that you take out Pet Insurance to protect you, the dog and any Third Party.

Please state your reasons for wanting a dog now, and a Gundog Breed in particular, and any other relevant information that you think may be useful in the box below (continue overleaf if necessary).

Have you applied to any other Rescue Organisation for a dog? YES/NO

If yes, which one(s)………………………………………………………………………………………………………..

How did you hear about us?…………………………………………………………………………………………….

Do you agree to a representative from Perthshire Gundog Rescue visiting to ascertain the welfare of the dog? YES/NO

Do you agree to return to Perthshire Gundog Rescueany dog you are unable to keep? YES/NO

SIGNED…………………………………………………… DATE……………………………………………

If you find a dog elsewhere, please let Perthshire Gundog Rescue Know.

PERTHSHIRE GUNDOG RESCUE