Rochdale Dog Rescue
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Rehoming Enquiry
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Home
The Dogs
Rehoming Info
Transport
Blog
Contact Us
Rehoming Enquiry Form
Please note that all fields followed by an asterisk must be filled in.
First Name*
Last Name*
E-Mail Address*
Home Phone*
Street Address
City*
Zip/Postal Code
Age (this may help us ensure we get the right dog for you)*
Select...
18-25
26-34
35-45
46-55
56-62
63-70
70 plus
Name of dog enquiring about*
Do you have any children living with you*
Select...
Yes - Under 10
Yes - Over 10
Not Applicable
Please give any further details of who lives at home*
Please advise working hours if applicable/ how long the dog would be left for each day.*
Do you have a secure Garden/ Yard*
Select...
Yes
No
Please give further detail*
Do you have any other pets?*
Select...
Dog(s) - unneutered
Dog(s) - neutered
Cat
Other
N/a
Please tell us about your other pets (including if they are neutered)
Do you have any upcoming holidays?
Any other relevant information?
By submitting this form you consent to us contacting you regarding your enquiry. We will store your data securely and will not share your data for marketing.
Submit Enquiry