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Irish Red and White Setter Club of GB
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Date
Phone
Email Address
Are there any children in the home?
*
Please select an option
Yes
No
What ages are they
Do you own other dogs?
yes
no
What breed are they?
Are they neutered/spayed
yes
no
Do you own cats
yes
no
Do you have other livestock
yes
no
About them
Is someone home all day?
yes
no
If not, please explain your working hours and arrangements for the dog's care while you're out:
How long would the dog be left at any one time?
Do you have a secure, enclosed garden?
yes
no
Please describe your garden, including height of fencing
Have you access to good, safe walks?
yes
no
Are you on or near a busy road?
yes
no
Have you had an Irish Red and White before?
yes
no
What other breeds have you had and what happened to them?
Are you, or have you been, banned from keeping animals?
yes
no
Do you own your own home or are you renting
Own
Rent
If you are renting do you have your landlord's premised to take in a rescue dog?
yes
no
not applicable
Do you have a current vet?
yes
no
Are you prepared to travel to collect a dog
yes
no
Please give us the vet's details, including phone number/address:
Are you prepared to deal with the many problems involved with taking on a rescue dog (nervousness, chewing, house training, lead and recall training)
yes
no
What sex would you prefer?
Female
Male
What age of dog are you considering? Please remember that IRWS can live well into their teens and remain active well into 'old age'.
<24 months
3-7
>7
The more flexible you can be the sooner a dog may become available.
Would you mind telling us what age group you are in?
<35
36-55
56-75
>75
Have you health issues that could affect your ability to care for the dog
yes
no
Details
Please tell us why you would like to rescue an IRWS an what you feel you can offer the dog.
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