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Page Updated 10/16/15   

 

 

 

 

 

We are so glad you've decided to participate in our Setter Rescue program. By contacting us to help you relocate your Setter, you've demonstrated how much you care about your dog by keeping him or her out of a rescue facility.

 

We realize that taking this first step to find your dog a new home may be a difficult one, but we will be here to help guide you through the process and to give you the support you need. 

 

We will use the data in this form to help us in posting accurate information about your dog on our Setter Rescue profile on our website. By submitting this information to us, you acknowledge and agree to give us permission to use the information herein to help locate a new home for your dog, which includes the ability to present relevant information about the dog to the public. We will never publicize your personal information such as name, address or phone.

 

 

The services of the Hickory Hollow Setter Rescue Network include the placement of Llewellin and English Setters into new homes when their present owners can no longer keep them. This service is offered free of charge.

 

 Date: (MM/DD/YYYY)

 


 

 

Owner Information:   (fields marked with * are required)

*

Name:

*

Street Address:

 

*

City:

*

State:

        * Zip:  

*

Phone (home):

 

Phone (mobile):

*

E-Mail:

 

Why are you placing this dog into rescue?

 

 


 

 

Doggie Details:   (fields marked with * are required)

 

Dog's Breed

*

Dog's Call Name

 

Dog's Birthdate

*

Gender

 

Male    Female

*

Spayed/Neutered?

*

Registered?

 

*

Registry?

 

 If Other, Please provide name:  

*

Microchipped?

 

 If Yes, Please provide type:  

 

 


 

 

Habits:   

 

Where does the dog normally spend the day?  

Please describe the dog's daily living arrangements:
 

 

 

Where does the dog sleep?

   
 

Is the dog housetrained?

If Partially, when do accidents occur?

   
 

Is the dog crate trained?

 

Does the dog have any obedience training?

 

Yes   No    If Yes, what commands does the dog know?
 
 

Is the dog leashed trained?

     
 

Has the dog had any hunting training?

 

Does the dog have any issues while hunting?  

Please describe any hunting problems such as gun shyness, blinking, etc.:
 

 


 

 

Personality:   

 

How does the dog interact with other dogs or cats?  

 

 

 

How does the dog interact with children?

   
 

How does the dog interact with strangers?

   
 

Is the dog comfortable being left alone?

   
 

Is the dog receptive to bathing, brushing, grooming?

   
 

What does the dog enjoy doing the most?

   
 

How does the dog react to riding in a car?

   
 

Does the dog have any dislikes or fears? Yes   No    

If Yes, please list them and explain what the dog's reaction is.

   
 

Does the dog chew on things other than his toys?   

Yes   No  

 

Does the dog dig holes in the yard?   

Yes   No  

 

Does the dog shred or destroy his toys?   

Yes   No  

 

Does the dog bark excessively?   

Yes   No  

 

Does the dog growl or bite when petted or bothered? Yes   No    

If Yes, please explain the situation, how you react and what you do.

 

Has the dog ever attempted to bite or ever actually bitten anyone? Yes   No    

If Yes, please describe the situation in detail.

 

 


 

 

Health:   

 

Veterinarian:

Please include vet's name, clinic, address and phone.  

 

 

 

Most recent vaccinations and dates given:

   
 

When was the dog last tested for Heartworms?

   
 

Is the dog currently on heartworm prevention medication?  Yes   No

If yes, which brand and how often is it administered?

   
 

Does the dog have any allergies to medications, flea collars, food, etc? Yes   No

   
 

What medications (if any) does the dog currently take (other than HW prevention)?

   
 

Is there anything else you would like to tell us about this dog?

 

I acknowledge that by clicking on the Submit Form button below,
Hickory Hollow Setter Rescue will have the right to use the information
herein to publicly advertise this dog for adoption.

 

 


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