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Doodle Rock Rescue – Dallas TX
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DONATE
ABOUT
Our Mission
Our Partners
In The News
F.A.Q.
Subscribe To Our Newsletter
REHOME
HOW TO HELP
Foster
Foster Application
Volunteer
Volunteer Application
Transport Application
Donate
ADOPT
Available Dogs
Upcoming Dogs
Adoption Application
DRR Alumni
SHOP
Cart
Checkout
My account
CONTACT
CHEW CLINIC
Visit CHEW Website
Special Thanks To
Rehome Questionnaire
You are here:
Home
Rehome Questionnaire
Rehome Questionnaire Form
Step
1
of
4
- Owner's Information
25%
Owner's Name
(Required)
First
Last
Owner's Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Owner's Phone Number
(Required)
Owner's Email Address
(Required)
Photo Of Your Dog
Drop files here or
Select files
Max. file size: 512 MB, Max. files: 5.
Please attach a current picture(s) and/or video. If you are unable to upload pictures/video, please email to
[email protected]
(option to attach files) PLACE HOLDER. NOT A GREAT SOLUTION. WORKING ON IMPROVING
Why are you rehoming your dog?
(Required)
Please be completely honest and as specific as possible. This will help the team in finding the perfect forever home.
Dog's Name
(Required)
Dog's Birthday If Known
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
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4
5
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31
Year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
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1991
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1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Dog's Age Years
Dog's Age Months
Dog's Gender
(Required)
Male
Female
Dog's Breed
(Required)
Please put your best guess if breed is unknown
Dog's Weight
(Required)
Is your dog spayed/nuetered?
(Required)
Yes
No
Unknown
How quickly are you looking to remove him/her from your home? Can you assist in transporting him/her?
(Required)
Is your dog microchipped?
(Required)
Yes
No
Unknown
What is the name on Microchip Registration?
(Required)
Please provide your current veterinarian office, doctor's name, address, and phone number:
Please attach medical records. If you are unable to upload please email records or call your vet and ask that they send all vet records to
[email protected]
Drop files here or
Select files
Max. file size: 512 MB, Max. files: 10.
Is your dog potty trained?
(Required)
Yes
No
If not, please explain the issue you have with potty training here.
Is your dog crate trained?
(Required)
Yes
No
If not, please explain the issue you have with crate training here.
Does Your Dog Shed?
(Required)
Yes, Lots
Yes, Very Little
No
Has your dog lived with you since they were a puppy?
(Required)
Yes
No
If not, where was h/she prior and why did s/he was she re-homes?:
Has she had any litters of puppies?
Yes
No
Unkown
Is your dog up to date on shots?
(Required)
Yes
No
When was their last visit with the Vet?
(Required)
Describe their overall medical health
(Required)
Is he/she on any flea & tick and/or heartworm preventative?
(Required)
Yes
No
What brand are they taking?
(Required)
Is your dog good with children, adults (men and women) & strangers?
(Required)
Has s/he been around other dogs *outside* your home?
(Required)
Yes
No
How does s/he interact with them?
Has s/he been around other adults humans *outside* your home?
(Required)
Yes
No
How does s/he interact with them?
Are there children in your home?
(Required)
Yes
No
Please list children's ages
Has s/he shown any signs of aggression or "resource guarding" (resource guarding can be guarding of food, crate, toys, humans, etc) towards any animal or human?
(Required)
Yes
No
Please explain
Has he/she ever; bitten, lunged, shown teeth, snapped, broken skin to any humans and/or animals?
(Required)
Yes
No
Please explain
Any separation [mild-extreme] anxiety?
(Required)
Yes
No
Please explain
Would you consider your dog a flight risk? Running out of open doors, jumping fences, etc.
(Required)
Yes
No
How does your dog get exercise?
(Required)
Does your dog have any allergies?
(Required)
What items, if any, will you be donating along with the dog? (Ex. food, crate & size, collar, leash, etc.)
(Required)
What brand and flavor dog food are you feeding him/her?
(Required)
I certify that all information provided above is truthful and accurate, and I am liable for any inaccuracies in the bite history.
(Required)
I agree
Signature
(Required)
I certify that all information provided above is truthful and accurate, and I am liable for any inaccuracies in the bite history.
By signing this form, I state that I am the owner of the animal(s), who is/are the subject of this Animal Surrender Form, hereinafter referred to as “the animal”. To my knowledge, no other person has any right to this animal. I hereby surrender all rights to the animal to Doodle Rock Rescue. I understand that once I relinquish the animal, the animal will not be available to be returned. I have read and understand the terms of this Animal Surrender Form.
(Required)
I agree
Signature
(Required)
I certify that all information provided above is truthful and accurate, and I am liable for any inaccuracies in the bite history.
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