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ABOUT YOU
Please fill out ALL
fields. If necessary, enter N/A
Home Phone#:
Cell Phone#:
Age:
ABOUT YOUR HOME
Please
fill out ALL fields. If necessary, enter N/A
1. How many people
in your home (ie..Mom-Dad-2 kids)?:
2.
Do you have children living in your home (even
part-time)?: YesNo
3. Please list ages of children:
4. Do all adults in the house work?:
5. Is anyone home during the day? If so, who and what
hours?:
6. Do you live in a : House, Condo, Apartment or other?:
7.
Do you own or rent?: Own Rent
8. If renting, what is the name and phone number of your
Landlord?:
9.
Do you have a fenced yard?: YesNo
If not, how will the dog be excercised?:
MORE ABOUT YOU!
Please
fill out ALL fields. If necessary, enter N/A
10.
Have
you placed an application with any other Rescue group?: YesNo
If yes, who?:
11.
Do you currently have any other animals?: YesNo
If yes, please list:
type, age & sex and if they are
spayed/neutered:
12.
Are (or were) your pets current on Hearworm prevention? (required):
YesNo
What type of Heartworm prevention do/did you
use?:
13. What type/brand of dog food do you intend to use?:
14. How
many pets have you owned in the last 10 years?:
What happened to each of them?:
15. Do you currently have a Veterinarian?: YesNo
Name of Vet: Vet Phone #:
LETS
TALK DOGS!
Please
fill out ALL fields. If necessary, enter N/A
16. Have you ever owned a Sheltie before?: YesNo
17. Why do you want a
Sheltie?:
18. Are you aware that Shelties are
"barkers"?:
19. Are you aware of all a Shelties needs? (i.e. grooming,
exercise):
20. Are you aware that Shelties may be shy around new people, and
may take awhile to
bond with?:
21. What role will this
animal have? (ie.. pet, watchdog,
breeding):
22. Do you intend to keep this dog primarily
indoors or
outdoors?:
23. Where will this dog stay
during the day, while you are at
work:
24. Where will the dog sleep?:
MORE DOGS!
Please
fill out ALL fields. If necessary, enter N/A
25. Do you have the time and or patience to housetrain a dog?:
26. Would you be willing to take a "special needs" (blind, deaf,
sick) dog?:
27. Would you be willing to work with a "behavior problem" dog?:
28. Would you be willing to take a much older, more needy dog?:
29. Do you have a color preference?:
30. Do you have a sex preference?:
31. Do you have an age preference?:
32. Do you have a size preference?:
33. Do you have a particular dog in mind?:
34. Are you aware of the financial responsibilities of dog ownership (including vet care, medications, food, licensing,
shots, grooming, etc.) and that total expenses of owning this dog could be $1,500 per year?:
35. Would this dog be a priority in your life?:
36. What circumstances, in your opinion, would justify you
placing your pet in another home or shelter?:
37. Are you aware of the fees that our rescue organization charges? Adoption fees range from $325.00 - $450.00,
depending on the age and/or health
of the dog:
38. Are you willing to have a member of Sheltie Rescue visit your home before and after the adoption?:
39. Would you be willing to take this
Sheltie to Dog Obedience School?: YesNo
(optional)
Do you
have any personal comments that you would like to make?
VERIFICATION
(required)
Name Of
Closest
Relative not living
with you: Relationship:
Relative's Address: City: State: Zip:
Telephone of Relative:
Your
Email Address:
Confirm Email:
All
of
the
answers I have given, are true and correct to the best of my knowledge.
Signature of
applicant: Date:
It
may take several seconds to process your application.
Please be
patient and do not
press the Submit button more than once.
Thank you
for your interest in Sheltie Rescue! |
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