Placement - Aussie Rescue San Diego

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Placement Form

Please fill out this form to submit information about yourself and your dog. This information will help us get a better understanding about your dog for possible placement help. All fields marked with an * are required. We will respond to you within 24 hours, if not please email us at info@aussierescuesandiego.org

* Required

Name *

Your answer

Street *

Your answer

City *

Your answer

State *

Your answer

Zip Code *

Your answer

Best number to reach you *

Your answer

Your Email *

Your answer

Name of dog needing placement assistance *

Your answer

Breed? *

Your answer

Age? *

Your answer

Weight? *

Your answer

Spayed/Neutered? *

Yes

What is the reason you need to re-home your pet? *

Your answer

What is the time frame for finding your pet a new home? *

Your answer

Where did you get your dog? *

Your answer

Please describe your dogs personality *

Your answer

Date of Last Visit to Veterinarian? *

Your answer

Current Veterinarian *

Your answer

Current on Vaccines? *

Yes

Mircochip number

Your answer

Any health issues or previous injuries? *

Your answer

Please list any medications

Your answer

Please describe how your dog is with strangers *

Your answer

How is your dog with new unknown dogs? *

Your answer

Has your dog ever bitten or tried to bite anyone? If yes please explain. *

Your answer

Please email a picture of your dog to info@aussierescuesandiego.org

Your answer

I certify that all of the above information is accurate I understand that by filling out this application. (Please write full name, pet name, and date to confirm) *

Your answer

Submit

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