Rehome Your Akita

Rehoming & Risk Assessment Form

If you've come to the decision to re-home your Akita you will no doubt want to ensure that it is found a good, secure and loving home. We can help you! Akita Rescue & Welfare Trust UK (ARW) have the knowledge and experience to deal with finding your dog a good home.

Please complete the form below answering all questions with asterisks. This will provide us with as much information about your Akita as possible so we can start the process of finding it a new loving forever home.

Your full name:

Your Address:

Your postcode:

Your contact number:

Your email address:

Confirm email address:

About your Akita

Dog's name:

Dogs Gender

Dog's age:

Are you the legal owner of the akita?

if not, do you have written permission to rehome the akita?

If not the legal owner, please provide the full contact details of the legal owner with their permission under GDPR

Is your dog at home with you or in kennels/a rescue centre?

Is your dog microchipped?

Microchip Number

If unknown, or not chipped, please state. Do not leave blank

Who is the microchip registered to?

Please give details of where you got your dog from

Does your dog have full access to the whole of your home?

Is your dog an escape artist?

What height fence could your dog jump?

Does your dog suffer from separation anxiety?

How long is your dog happy to be left alone for at home?

Help us to help your Akita! In order to advertise your Akita successfully we need a few very good photographs. Outdoor shots - head and head/body - are great. Please upload at least ONE photograph but more are preferred so we have a selection to choose from.

Photo 1

Photo 2

Photo 3

Photo 4

Photo 5

What is the reason for rehoming the akita?

Will you give a donation to our charity if we successfully re-home your Akita?

Do you give ARW permission to contact you in regard to this donation?

Dogs Medical History

Dog's medical history

Please list any illnesses, conditions, operations or medication. If none please specify.

Is your dog spayed/neutered?

If your Akita is female, and intact, please tell us when she was last in season

Are your dogs inoculations up to date?

Are you prepared to ensure your dogs inoculations are up to date to assist with rehoming?

Behaviour

The following questions have been put together by our canine behaviourist and your accurate answers will make re-homing your dog quicker and easier.

It is VITAL that the questions are answered honestly.

ARW will enlist a volunteer to attend the home for a temperament assessment, during which, the Health & Safety of the volunteer is the responsiblity of the Dogs owner.

I understand that ARW will enlist the services of a volunteer to assess the above mentioned dog. I accept full responsibility for the health and safety of the ARW volunteer whilst they are conducting the assessment of the above mentioned dog, which I understand will involve physical interaction with the dog.

How does your dog normally react to men?

Exciteable

Friendly

Backs away

Growls

please select all that apply

How does your dog normally react to women?

Exciteable

Friendly

Backs away

Growls

please select all that apply

How does your dog normally react to children?

Exciteable

Friendly

Backs away

Growls

please select all that apply

How does your dog normally react to people in uniform?

Exciteable

Friendly

Backs away

Growls

please select all that apply

Is your dog, stranger friendly, inside the home?

Is your dog stranger friendly, outside the home?

Hows does your dog normally greet people inside the home?

Wags Tail

Shows No Interest

Barks

Growls

please select all the apply

How does your dog normally greet people outside the home?

Wags Tail

Shows No Interest

Barks

Growls

please select all that apply

How does your dog normally behave with toys?

Has your dog ever growled at a person?

If so, please provide details here. If not, please type Not Applicable

Has your dog ever bitten a person?

If so, please provide details here

Has your dog ever growled at another animal?

If so, please provide details here

Has your dog ever bitten another animal?

If so, please provide details here. If not, please type Not Applicable

Has your dog ever killed an animal?

Is your Dog, Dog Friendly?

Is your Dog, Cat friendly?

How does your dog behave when being handled?

Good

Nervous

Aggressive

Please select all that apply

When excited, does your dog:

How does your dog usually behave when being groomed?

Good

Nervous

Aggressive

Does your dog guard food, toys, or show any signs of resource guarding?

If so, please provide details here.

Please detail any problem behaviours you have seen in your dog:

If none please specify. If you are not sure of the significance of any 'quirks', please detail them anyway.

Any other comments/information?

Data Protection

GDPR: I permit ARW to use any details that I supply to assist with the service that ARW offer, including the sharing of this info with other rescues.

I declare that the information provided by me on the above form, is true and correct to the best of my knowledge and belief.

Agreement: I understand that by submitting my dog's details to Akita Rescue & Welfare Trust (ARW), I am asking and authorising ARW to find a new home for my Akita by advertising its details on the website akitarescue.org.uk and by any other means they chose to engage.

I understand that I will not receive any financial reward from ARW or the adopter following the successful rehoming of my Akita. I further agree to inform the ARW should I rehome my dog myself within 24 hours of doing so in order to stop the charity's limited and valuable time and resources being wasted.

I also agree that should I rehome my dog without informing the ARW I may be liable to cover any reasonable expenses the ARW has incurred in their efforts to find my dog a new home.

Do you agree to the above?

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Rehome Your Akita

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