Your name:

Your email :
(so we can contact you: not displayed unless you ask us to)

Your phone number:
(so we can contact you: not displayed unless you ask us to)

Name of rescue (if dog is already with a rescue):

Web address of rescue (if dog is with a rescue with a website):

Who should people contact if they want to offer a home? (phone, email, web address?).

My dog is not with a rescue - I would like the Oldies Club to handle contacts or arrange a foster home:

If you are contacting us from a rescue with a standard rehoming policy, tell us about it. If you usually home inside your local area but would like help from the Oldies Club with homechecking or transporting for a particular long stay resident, please let us know.

Dog 1 Details

Dog's Name:

Please give the estimated age, sex,colour and breed (if known) of the dog. If the dog is not with a rescue, PLEASE tell us if you have contacted any other rescues yet, and tell us if the dog is in a safe place where it can stay till a home is found. If the dog needs a temporary foster home, please say so.

Roughly where in the country is this dog? :

Who is the legal owner of this dog? :

Is there someone who can take this dog back if a rehoming doesn't work out for any reason? :

This dog is neutered / spayed: yes     no

This dog is used to being around other dogs and could live with them: yes     no

This dog is used to cats and could live with them: yes     no

This dog is good with children: yes     no

What sort of home are you looking for for this dog? Can he live with children, cats, other dogs, small pets? Does he need a quiet retirement home or an energetic family home?

Medical Does this dog need medication or have any existing conditions?

Web address for photo : (If your dog photo is not on the web, you can email it to us on web@oldies.org.uk, or you can host it with a free service such as photobucket). We do need a photo if we are to list the dog - it is unlikely to get many enquiries without one.

Web address for second photo :

Dog 2 Details

Dog's Name:

Please give the estimated age, sex,colour and breed (if known) of the dog.

Roughly where in the country is this dog? :

Who is the legal owner of this dog? :

Is there someone who can take this dog back if a rehoming doesn't work out for any reason? :

This dog is neutered / spayed: yes     no

This dog is used to being around other dogs and could live with them: yes     no

This dog is used to cats and could live with them: yes     no

This dog is good with children: yes     no

What sort of home are you looking for for this dog? Can he live with children, cats, other dogs, small pets? Does he need a quiet retirement home or an energetic family home? Does he have any specialist medical needs?

Medical Does this dog need medication or have any existing conditions?

Web address for photo :

Web address for second photo :

Dog 3 Details

Dog's Name:

Please give the estimated age, sex,colour and breed (if known) of the dog

Roughly where in the country is this dog? :

Who is the legal owner of this dog? :

Is there someone who can take this dog back if a rehoming doesn't work out for any reason? :

This dog is neutered / spayed: yes     no

This dog is used to being around other dogs and could live with them: yes     no

This dog is used to cats and could live with them: yes     no

This dog is good with children: yes     no

What sort of home are you looking for for this dog? Can he live with children, cats, other dogs, small pets? Does he need a quiet retirement home or an energetic family home? Does he have any specialist medical needs?

Medical Does this dog need medication or have any existing conditions?

Web address for photo :

Web address for second photo :

The information on this form will be held by the Oldies Group Admin team. Your personal information will not be made available to any third party without your prior consent.