Listing Form – Seattle Purebred Dog Rescue

Listing

"*" indicates required fields

Name*

First Last

Address*

Street Address City State ZIP Code

Home Phone*

Mobile Phone

Work Phone

Best time to call

Email*

May we give you phone number(s) to approved applicants who are interested in your dog?*

Yes

About the dog you want to list

Each breed of dog has a different SPDR volunteer (Breed Representative) responsible for its rescue and placement. If a breed is not listed here, we currently do not have a representative for that breed.

Breed to list*

This field is hidden when viewing the form

Represenative_Email

Dog's age

Dog's Birthdate

Dog's Registered Name

Dog's Call Name

Are registration papers available

Yes From what registration organization. Below

Registration Organization

Will you provide the registration papers to the new owner

Yes

Is the dog microchipped

Yes

Microchip ID

Is the dog co-owned? If yes, you must provide a signed release from the dog's co-owner

Yes

Dog's color

Dog's weight

Sex

Male

Female

Spayed / Neutered

Yes

Is the dog crate trained?

Yes

Housebroken?

Yes

Paper Trained?

Yes

How long have you owned this dog?

Are you the first owner of this dog

Yes

Have you tried to re-home this dog yourself? (Describe)

Was this dog bought from a breeder?

Yes = Breeder's name below

Breeder's Name

Did you ask the breeder about re-homing?

Yes = Breeder's Response Below

Breeder's Response

Was the dog bought from a pet store

Yes = Name of store / city below

Name of pet store and city

Was the dog adopted from a shelter

Yes = Name of shelter / city

Name of shelter and city

If not from a breeder, shelter, or pet store, where did you get this dog?

Dog's veterinarian's name, city and phone

Are the dog's shots up to date?

Yes

Will you provide health records to the new owners?

Yes

(If applicable): Is the tail docked?

Yes

(If applicable): Ears cropped?

Yes

Dewclaws removed?

Yes

Describe any physical problems the dog has:

Any allergies?

Yes

Is the dog on medication?

Yes = List below

Medications

(If unspayed female): Is there any chance she's pregnant?

Yes = See Below

Last heat cycle

Has the dog had any obedience classes?

Yes - List below

Obedience classes

Other training? Select all that apply

CGC

Guard

Agility

Herding

Tracking

Hunting

Trainer

List all commands, tricks, and skills:

What brand of food is fed?

How much food does the dog eat per day?

Does the dog growl when you take away food or toys?

Yes

What does the dog dislike?

What does the dog like best?

What does it fear?

Does the dog have the following habits?

Destructive Chewing

Digging

Jumps/Climbs Fence

Excessing barking

Where has this dog spent its days?

Loose Indoors

Crate Indoors

Basement

Garage

Outdoor Kennel

Fenced Yard

Tied up outside

Other - below

Other

Where has this dog spent its nights?

Loose Indoors

Crate Indoors

Basement

Garage

Outdoor Kennel

Fenced Yard

Tied up outside

Other - below

Other

Is the dog ... (check all that apply)

Aggressive

Alpha

Confident

Playful

Reserved

Timid/Shy

Nervous

Fearful

How does the dog react to being alone in the home?

How does the dog react to being alone in the yard?

How does the dog react to being alone in the car?

How does the dog react to strangers?

How does the dog react when meeting other dogs?

How does the dog react to being walked on a leash?

Is this dog aggressive to other dogs?

Yes

Sometimes

Has it lived peaceable with other dogs?

Yes

How does the dog react to cats?

Has it lived peaceably with cats?

Yes

How does the dog react to livestock?

Has it lived around livestock?

Yes

Does this dog chase other animals?

Yes - Describe below

Describe

Has this dog killed another animal?

Yes - Describe below

Describe

How does this dog react to children?

Has the dog lived with children?

Yes - How many and what ages

Children: How many and what ages

Does this dog snap or nip at people?

Yes - What causes this? Below

Cause for snap or nip

Has this dog ever bitten a person?

Yes - What causes this? Below

Bitten a person

Did the wound require medical attention?

Yes - Describe below

Describe medical attention

Was the bite reported to city or county animal control?

Yes - In what city or county? Below

Bite reported to animal control

Was the dog quarantined?

Yes - Describe below

Describe

What is the most appealing thing about this dog?

What is this dog's biggest fault?

Why is this dog up for adoption?

How did you hear about SPDR?

Agreement and Consent

I (retype full name) Hereby acknowledge to following polices and agree to abide to them. (Check each box below).*

Please be sure to read our Terms of Adoption

I hereby make available for adoption through Seattle Purebred Dog Rescue this dog:. Enter dogs Name and Breed*

I certify that I am the owner of this dog, free and clear of all other interests. I certify that this dog is not possessed of any dangerous or vicious propensities and that I have not willfully concealed information about this dog that might indicate such propensities. The information I have provided about this dog is true and complete. I forever release, discharge and agree to hold harmless and indemnify Seattle Purebred Dog Rescue, its Board of Directors, officers and agreements from all claims, demands, actions,causes of action, or liability of any kind whatsoever arising as a result of or in connection with the adoption or any other disposition of the above-named dog.

SPDR Dog Listing Agreement*

All the information I have provided on this form is true and complete.

I understand that any intact (not spayed or neutered) dog placed by SPDR must be spayed or neutered as a term of adoption.

I understand that I may not receive compensation for my dog.

I understand that SPDR may not be able to place this dog due to its age, health, physical condition, personality, lack of training, or lack of demand for this breed.

Listing

About the dog you want to list

Agreement and Consent

Please review your application before clicking Submit