Dog Information Request Form - German Shepherd Rescue NSW

German Shepherd Rescue New South Wales Incorporated

ABN 20 101 227 931 / R251000039

Dog Information Sheet

Please complete this with as much information as possible as it will help us find the best home for your dog.

Name:

Date

Phone

Address

Registered Owners

- Name

- Address

Basic Information

Dog’s Name

Breed (cross)

Colour

Sex

Male

Female

Coat

Short

Medium

Long Coat

Date of Birth

Microchip number

Tattoo (ABC 123)

Where did you get your dog from: Breeder (Pedigree or BYB), Friend, Gumtree

Is your dog Desexed (Please supply copy of Desex Certificate)

Council Registered?

Weight (or approx)/ Date last weighted

Why do you need to rehome your dog?

Vet / Medical

Does the dog have any medical conditions, allergies (please supply details)

Ears condition – Fly strike, Redness, Smelly

Does your dog have any Wounds / Lumps

Arthritis

If female, has she had any litters?

Mammary Tumors

Date last vaccinated (Please supply copy of Vaccination Certificate)

Type (C3, C5)

Date last wormed

Brand

Date last Heartworm prevention

Brand

Outside

How much exercise does he/she get?

Walking on lead (what type of lead/harness use)

Has your dog been Obedience, Protection or Guard dog trained? If so, what training centre or Trainer?

Level of basic obedience training? Sit / Drop / Stay / Come

What is your dog like with other dogs?

What is he/she like travelling in car?

Inside

House trained, lounge lizard or hyper active

Behaviour

Is your dog Registered as a dangerous dog

Does your dog have a Nuisance order

Has the dog ever bitten / growled / attacked / lunged at someone?

Is it a climber or escape artist

Bad behaviours – digging, barking etc

How does your dog behave with:

People / Dogs

Fireworks / Storms / Lawn Mower

Live with others (list types and ages)

Cats / other dogs

Children

Feeding

Times of day / Type of food ie Fresh or brand

Bones

Can you handle your dog when eating

Does your dog eat – Slow / Average / Fast

Does your dog Guard toys or people

Water – how does your dog behave with:

Hydro bath / beach

Clam shell / Pool / Hose

Sleeping

Where (Inside/Outside) and on What?

Other comments

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Date:

Signed

Office Use Only:

Date:

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