BORDER COLLIE RESCUE ADOPTION APPLICATION

BORDER COLLIE RESCUE ADOPTION APPLICATION

Please use the tab key to move from line to line.

Applicant's First & Last Name:

Names of other adults in family:

Address:

City:

State: Zip

Phone:

Fax:

Email Address:

Confirm Email Address:

Occupation:

Business Phone:

Why do you want a Border Collie?:

What type of training do you plan to give your new dog?:

Have you ever owned a Border Collie Before?:

What dog training experience do you have?:

Do you still have that dog?:

What happened to your last dog?:

During the last two years:

Have you lost a pet (not through death)?:

Have you had a pet poisoned?:

Have you had an animal killed by a vehicle?:

Would you allow a dog to ride loose in the bed of a truck?:

Have you ever had an animal die due to disease?:

Do you have any other animals?: NoYes

Please list their type, age and sex:

Do you have any children at home?: NoYes

Please list age(s):

Do you live in a: House Apartment
CondoMobile Home

Do you: OwnRent

If you rent, do you have the landlord's permission to keep a dog?: NoYes

Do you have a yard?: NoYes

Is it fenced?: NoYes

What type of fencing? Please list type of fencing materials, heights and size of yard where the dog will exercise:

Do all family adults work away from your home?:

Is someone home during the day?:

What provisions will be made for your Border Collie if no one is at home during the day?:

How many hours a day will the dog be alone?:

Where do you plan to keep this dog?:
If both - please give the percentages:
IndoorsOutdoors Both
Indoors% Outdoors %

Where will it sleep?:

Do you have a sex preference?: NoYes

If yes, choose preference: MaleFemale

Do you have a color preference?:

Color?:

Would you consider:

The opposite sex?: NoYes

An older dog?: NoYes

To what age?:

What size Border Collie do you prefer?:

Are other members of your household aware that you are considering adopting a pet?:

Are you prepared to assume the financial responsibilities of caring for an animal, including inoculations, veterinarian care, good quality food, licensing, etc.?:

Are you planning to move in the near future?:

Is anyone in your house allergic to animals?:

Are you familiar with the animal regulations in your area?:

Is the Border Collie going to be a gift?: NoYes

Do they know they are getting the gift?:

Do you understand that any rescue Border Collie that you may adopt through Border Collie Rescue will be spayed/neutered?: NoYes

Are you willing to allow a Rescue Representative member to visit your home by appointment?:

What circumstances, in your mind, justify getting rid of a dog?:

How did you hear about Border Collie Rescue?:

Do you accept that there will be a $200 adoption fee for puppies and adults under 6 years of age and a $150.00 adoption fee for dogs over 6 years of age?:

Do you agree to sign a spay/neuter contract with us for puppies too young to be spayed/neutered?:

Please note that there is an additional $100.00 deposit required with the spay/neuter contract. This deposit is refunded upon proof of spay/neutering.

Is there a particular dog on our website that you are interested in? If so, please list their name(s):

Thank you for considering a dog from Border Collie Rescue. If you have any questions, or if we can be of assistance, please do not hesitate to call or email us. Date:

You should receive an email from us regarding the status of your application within 2 days. If you don't hear from us, please send an email to check if your application came through. If you have listed your email address incorrectly on this application, you may not receive a confirmation email. Please double check your email address.

Applicant's First & Last Name:
Names of other adults in family:
Address:
City:
State:	Zip
Phone:
Fax:
Email Address:
Confirm Email Address:
Occupation:
Business Phone:
Why do you want a Border Collie?:
What type of training do you plan to give your new dog?:
Have you ever owned a Border Collie Before?:
What dog training experience do you have?:
Do you still have that dog?:
What happened to your last dog?:
During the last two years:
Have you lost a pet (not through death)?:
Have you had a pet poisoned?:
Have you had an animal killed by a vehicle?:
Would you allow a dog to ride loose in the bed of a truck?:
Have you ever had an animal die due to disease?:
Do you have any other animals?:	NoYes
Please list their type, age and sex:
Do you have any children at home?:	NoYes
Please list age(s):
Do you live in a:	House Apartment CondoMobile Home
Do you:	OwnRent
If you rent, do you have the landlord's permission to keep a dog?:	NoYes
Do you have a yard?:	NoYes
Is it fenced?:	NoYes
What type of fencing? Please list type of fencing materials, heights and size of yard where the dog will exercise:
Do all family adults work away from your home?:
Is someone home during the day?:
What provisions will be made for your Border Collie if no one is at home during the day?:
How many hours a day will the dog be alone?:
Where do you plan to keep this dog?: If both - please give the percentages:	IndoorsOutdoors Both Indoors% Outdoors %
Where will it sleep?:
Do you have a sex preference?:	NoYes
If yes, choose preference:	MaleFemale
Do you have a color preference?:
Color?:
Would you consider:
The opposite sex?:	NoYes
An older dog?:	NoYes
To what age?:
What size Border Collie do you prefer?:
Are other members of your household aware that you are considering adopting a pet?:
Are you prepared to assume the financial responsibilities of caring for an animal, including inoculations, veterinarian care, good quality food, licensing, etc.?:
Are you planning to move in the near future?:
Is anyone in your house allergic to animals?:
Are you familiar with the animal regulations in your area?:
Is the Border Collie going to be a gift?:	NoYes
Do they know they are getting the gift?:
Do you understand that any rescue Border Collie that you may adopt through Border Collie Rescue will be spayed/neutered?:	NoYes
Are you willing to allow a Rescue Representative member to visit your home by appointment?:
What circumstances, in your mind, justify getting rid of a dog?:
How did you hear about Border Collie Rescue?:
Do you accept that there will be a $200 adoption fee for puppies and adults under 6 years of age and a $150.00 adoption fee for dogs over 6 years of age?:
Do you agree to sign a spay/neuter contract with us for puppies too young to be spayed/neutered?:	Please note that there is an additional $100.00 deposit required with the spay/neuter contract. This deposit is refunded upon proof of spay/neutering.
Is there a particular dog on our website that you are interested in? If so, please list their name(s):
Thank you for considering a dog from Border Collie Rescue. If you have any questions, or if we can be of assistance, please do not hesitate to call or email us.	Date: