Ottawa Obedience Training Doggy Daycare

The Dogs Den Learning Centre Ltd - Dog Obedience Training and Doggy Daycare

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Crate Potty Feeding Potty Training Pup is home Why Socialize Why Train

Dog Relinquishing Form Listings Rescue Agencies PreScreening Adoption Form

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The Dogs Den, Adoption Service

Relinquishing Form

At the time your dog is relinquished to our facility, we require

Vet records, food for 1 month, leash and collar must come with dog along with any other item that is necessary for immediate care of the dog. Registration if applies.
Copy of all current vet records including proof of spay/neuter
Enough food for one month of care
Leash/Collar. any other item that is needed for immediate care.
Registration records are required for transfer of ownership (if applies)
owners execute a legal document officially relinquishing their dog to, The Dogs Den

Relinquishing Form
Date
Dog's Name
Owner's Name
Email
Address
City
Postal Code
Phone(s): Home #
Work #
Cell Phone
Dog's Registered Name if applies:
Date of Birth
Color
Weight
Gender	Female Male
Altered	yes no
Why are you giving up this dog?
How long have you owned him/her?
Where did you obtain him/her?	Breeder Friend Other Pet Store Shelter Stray
How many homes has this dog had?
How would you describe his/her personality? (check those that apply)	Aggressive Fearful Happy Hyperactive Nervous Playful
Describe the dog's bad habits
Would you describe this as an "adults only" dog?	yes no
Does this dog prefer men or women?	men Not Applicable women
What upsets this dog? (his/her fears and/or dislikes)
How does this dog react to being left alone?
When was this dog last groomed?
How does the dog react to being groomed?
What kind of home would be ideal for him/her?
What kind of home should be avoided?
Please include any other information that may help the new owner assist this dog in adjusting to a n
Has this dog ever bitten or snapped at anyone?	yes no
If so, how often?
Under what circumstances?
Did it break the skin?	yes no
Please explain
Where is this dog kept?	Inside Kennel Outside
Where does this dog sleep at night?
Is he/she housetrained?	yes no
How does this dog indicate that he/she needs to go outside?
Is this dog good with children?	yes no
Is he/she good with other dogs?	yes no
Is he/she good with cats?	yes no
Does this dog have registration papers?	yes no
Has he/she been microchipped?	yes no
Date of Last Vet Visit
Vet Name/Vet Clinic
City
Postal Code
Phone
Date of Last HW Test
Results
HW Preventative
Date Last Given
Was this dog on HW preventative (daily or monthly) during last spring, summer and fall?	yes no
Date of Last Rabies Shot
Date of Last DHLPP
Any Allergies
Any Medication
List any medical conditions this dog has been treated for and approximate dates
Describe your dog's overall general health
What food is your dog currently eating?
How often do you feed and in what quantity?
What items are you sending along with the dog? Check mark all that will apply	Crate Grooming supplies Pens/gates

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