Belgian Shepherd Rescue by Belgian Shepherd Dog Club of Qld

Belgian Shepherd Rescue - by Belgian Shepherd Dog Club of Queensland Inc.

Donate to Rescue - online

BIN0004174849775 expires 7/9/19

Use this form if you want to adopt a dog

If inquiring about a particular dog - what is the dogs name? *

* Indicates required field

Your Name *

First

Last

Email *

Phone *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Have you owned a Belgian Shepherd before? *

Yes No

What other breeds of dogs have you had experience with? *

If you are between dogs, what happened to your last dog? *

Your preferred variety for adoption *

What other pets do you have currently? *

Preferred gender of your new dog *

Preferred age of your new dog *

Would you be willing to take on a "Special Needs" dog (possibly needing medication or rehabilitation)? *

Do you have children at home, or that visit your home? What ages? *

Will the dog be allowed indoors? *

Yes No Sometimes

Will the dog be part of your everyday life? *

Will your dog have access to shade and shelter at all times? *

Yes No

Where will the dog sleep at night? *

What type of diet/food would you intend to place your dog on? *

Do you have a reference from a veterinarian? Please give contact details *

What arrangement or enrichment items would you provide during your time away from home (work etc)? *

When you go away on holidays or away for the weekend, what arrangements do you make for the dog? *

When you go away on holidays, what arrangements do you make for the dog? *

Have you ever surrendered or rehomed a dog before? *

Yes No

If yes, what were the circumstances? *

Have you ever had your dog impounded? *

Yes No

If yes, what were the circumstances? *

Did you retrieve the impounded dog? If No, why? *

Have any of your dogs had Nuisance Orders placed upon them? *

Yes No

If yes, what were the circumstances? *

Have you ever had to euthanize your dog? *

Yes No

If yes, why? eg. old age, illness, behavioral issues. *

Is your yard fully fenced? *

Yes No

What is your fence made of? *

How high is the fence at the lowest point? *

Do you have a secure gate with locks and latches? *

Yes No

Do you own or rent your property? If rented, has your landlord or body corporate granted approval in writing for your new dog? *

Are you happy for Belgian Shepherd Dog Club of Queensland Inc or a nominated representative to carry out a Property Check at your property? *

Yes No

I understand that this is an application only. I am under no obligation to adopt the dog and there is NO guarantee that I am able to adopt a dog from Belgian Shepherd Dog Club of Queensland Inc or any other associated rescue group. All information provided in this application will be kept Strictly Private and Confidential. The dog will be returned to Belgian Shepherd Dog Club of Queensland Inc if I am unable to keep the dog. *

Yes No

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Belgian Shepherd rescue

Belgian Shepherd Rescue - by Belgian Shepherd Dog Club of Queensland Inc.

Use this form if you want to adopt a dog