Adoption Application
Name:
Address:
City / State / Zip
Phones: Home ( )
Work: ( )
E-mail address:
Do you check e-mail every day? Y N
Employer:
Hours you are at work?
May we call you at work? Y / N
Have you placed an application with any other rescue group ?
Why do you want a Sheltie?
How many pets have you owned in the last 10 years?
When?
What happened to each of them?
What role will this animal have? (ie..pet, watchdog, breeding)
Do you currently have any other animals?
Please list: type, age and sex and if they are spayed or neutered….
Do you currently have a Veterinarian?
Yes No
Name, address and phone number of your Vet:
Please circle one: My vet may or may
not be used as a reference.
Who lives in your home? (ie..Mom-Dad-2 kids)
Do you have children living in your home (even
part-time)?
Please list ages of everyone living in your
home:
Do you live in a: (circle one) House Apartment Condo Other
Do
you own or rent?
If renting, does the
landlord allow pets?
Do you have a yard for
the dog to use?
Is it fenced?
If not, how will the dog be exercised?
Do all adults in
the house work?
Is anyone home during the day?
If so, who, and what hours are they home?
Where will this dog stay during the day, while you are at work?
Do you intend to keep
this dog primarily indoors or outdoors?
Where will the dog sleep?
Do you have the time and or patience to housetrain a dog, if it is not already trained?
Would you be willing to take a "special needs" (blind, deaf, sick) dog?
Would you be willing to work with a "behavior problem" dog?
Would you be willing to take a much older, more needy dog?
Have you ever owned a Sheltie before?
Are you aware of all a Shelties needs? (i.e. grooming, exercise)
Are you aware that Shelties are "barkers"?
Are you aware that Shelties may be somewhat shy around new people, and may take awhile
to bond with?
Do you have a color preference?
Do you have a sex preference ?
Do you have an age preference?
Do you have a size preference?
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 $1000.00 per year??
Would this dog be a priority in your life?
What circumstances, in your opinion, would justify you getting rid of this dog?
Are you aware of the
fees that our rescue organization charges ?
Please note: Adoption fees sometimes vary according to the condition of the dog when we receive it. Some adoption fees will be lower than $100. Be sure to specify which sheltie you would like to adopt or email us for more specific information.
All of the answers I have given, are true and correct to the best of my knowledge.
Date
Signature of applicant
_________________________________________________________
Please print, fill out, and mail to:
Debbie Burnside
127 Wild Cherry Road
Morgantown, WV 26508
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