PLEASE NOTE:  USE YOUR TAB BUTTON TO MOVE FROM LINE TO LINE.  IF YOU HIT ENTER AT ANY POINT, YOUR IN-COMPLETED APPLICATION WILL BE SENT.

BORDER COLLIE RESCUE APPLICATION
BORDER COLLIE RESCUE ADOPTION APPLICATION
Applicant's First & Last  Name:

Must be 18 years of age or older to submit application.

Names of other adults in family:
Address:  If P.O. Box is used, please also include physical 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?:
What type of exercise do you plan to do with 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:
Are the dogs in your household altered? (spayed or neutered): NoYes
If you answered no, please explain:
Do you have any children at home?: NoYes
If YES, please list name(s) and age(s):
If NO, do you plan to add children to your family in the next few years?:
Do you live in a: House Apartment Townhouse
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 $300-$350 adoption fee for puppies and adults under 6 years of age and a $250.00 adoption fee for dogs over 6 years of age?: Adoption fees vary for puppies.  The fee for pups under six months of age is $350.  The fee for pups over six months of age and adults under 6 years old is $300. 
Do you agree to sign a spay/neuter contract with us for puppies under 4 months of age and 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 email us at bcrncinc@aol.com  Date:
 

Thank you for submitting your application to adopt. It is now on file with us and when you see a dog you are interested in adopting, please let us know you have already submitted your application.