application form

BORDER COLLIE RESCUE ADOPTION APPLICATION

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

* Indicates required field

Name *

First

Last

Names of other adults in household *

First

Last

Names of other adults in household *

First

Last

Names of other adults in household *

First

Last

Names of other adults in household *

First

Last

Address - if P.O. Box, please give physical address as well *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Confirm Email address *

Home Phone Number *

Cell Phone Number *

Occupation *

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? *

What dog training experience do you have? *

Have you ever owned a Border Collie before? *

Do you still have that dog? *

What happened to your last dog? *

Have you ever lost a dog (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 had an animal die due to disease? *

Do you have other animals? *

Yes No

Please list their type, age and sex: *

Are all the dogs in your household spayed or neutered? *

Yes No Do not have any animals at this time

If you answered no, please explain.. *

Do you have any children at home? *

If you answered yes, please list their name(s) and ages(s) *

If you answered no, do you plan to add children to your family in the next few years? *

Which of the following describes your living space.. *

Do you *

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

Yes No

Do you have a yard? *

Yes No

Is your yard fenced? *

Yes No Partially

Please describe in detail the type of fencing materials, If you have a partially fenced yard, please describe in detail. heights and size of yard where the dog will exercise. *

Do all family adults work away from your home? *

Yes No

Is someone home during the day? *

Yes No

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

How many hours a day will your dog be alone (without human contact)? *

Are you able to take your dog to work with you? *

Where do you plan to keep this dog? *

Indoors Outdoors Both indoors and outdoors

If both, please give the percentages: Indoor % *

Outdoor % *

Where will your dog sleep? *

PREFERENCES FOR YOUR NEW DOG:

Do you have a sex preference for your new dog? *

Female Male Either one is fine

Would you consider an older dog? *

Yes No

If yes, to what age? *

Do you have a color preference? *

Yes No

If yes, what color do you prefer? *

What size Border Collie do you prefer? *

Is there a specific dog you are interested in at this time? *

Is everyone in your household aware that you are considering adopting a dog? *

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

Are you planning to move in the near future? *

Is anyone in your house allergic to animals? *

Is the Border Collie going to be a gift? *

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? *

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? *

Have you ever surrendered a dog to a shelter or rescue organization? *

How did you hear about Border Collie Rescue? *

Do you accept that there will be a $350 - $450 adoption fee for puppies and adults under 6 years of age and a $250 adoption fee for dogs over 6 years of age? *

Adoption fees vary for puppies. The fee for pups under six months of age is between $350 - $450. The fee for purebred pups under 3 months of age is $450. The fee for pups over six months of age and adults under 6 years old is $350.

Do you agree to sign a spay/neuter contract with us for puppies under 6 months of age and too young to be spayed/neutered? *

Please note that there is an additional $100 deposit required with the spay/neuter contract. This deposit is refunded upon proof of spay/neutering.

Date of application *

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.

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, PLEASE LET US KNOW THAT YOU HAVE ALREADY SUBMITTED AN APPLICATION.

Submit your application