Rehoming Forms | Christchurch Border Collie Haven

29 Dogs Adopted

Rehoming Forms

Rehoming Form (word) docx

Rehoming Form (pdf) pdf

Please email completed forms to

chchbordercolliehaven@gmail.com

Online Form

Your Name

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Email

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Phone

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Address

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Dogs name

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Breed/s

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Age

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DOB if known

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Gender

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Dogs current location

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Is your dog desexed?

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Is your dog microchipped?

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Chip number if known

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Does your dog have a vet book

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Is your dog registered

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Registration number and city

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Is your dog vaccinated

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Has your dog ever bitten anyone?

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If yes, give details

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Is your dog okay around other dogs?

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Any details

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Is your dog okay around cats

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Any details

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Is your dog okay around chickens, sheep, cattle, or other animals

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Is your dog okay around children

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Any details

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Is your dog okay around strangers?

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Any details

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Does your dog have any ongoing medical issues

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Any details

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Circumstances around rehoming

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About my dog (please give as much detail as possible)

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Do you wish for your dog to be placed in our foster program, or do you wish to keep them at your house until a suitable home is found?

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I wish to be added to the CBCH Family group to keep up to date with how my dog is doing in their new home

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I give permission for CBCH to take on possession of my dog for rehoming

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DECLARATION. I confirm the information I have provided is true and correct, and understand if any information is found to be incorrect it may result in the application being terminated.

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Address

Message Sent.

CBCH

We are a completely not for profit organization

ALL donations and profit from merchandise goes straight back to the dogs!

Registered charity number CC58529

Sponsored By

Elite Canine Collective

Contact

chchbordercolliehaven@gmail.com

www.facebook.com/ChchBChaven

Christchurch

New Zealand

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