ADOPTION APPLICATION
All applicants must be 21 years or older.
Our goal is to adopt Border Collies into permanent, loving, and responsible homes. We would appreciate your answers to the questions on our application so that we can make the best possible match for you, your family, your lifestyle, and the dog. All information will be treated as confidential. Submission of this application does not guarantee that you will be approved or receive a dog. An incomplete application or misrepresentation of any facts on this application is grounds for refusal. You will be contacted via e-mail once your application has been reviewed. At that time, we will begin the reference check. If the references are approved, we will then contact you to make arrangements for a home visit.
A minimum adoption fee of $260.00 (which includes the $10 application fee) will be payable at the time of adoption. A minimum adoption fee of $160.00 (which includes the $10 application fee) is required for dogs over 8 years of age and will be payable at the time of adoption. All dogs are spayed/neutered, vaccinated (includes Rabies, Distemper), microchipped, heartworm tested and kept on monthly heartworm preventative prior to adoption.
Please fill out the application completely.
Personal Information
Date:
Your full name: Spouse's full name:
Your age:
Address: City, State, Zip:
Phone (H): Phone(W or cell):
E-mail Address:
When do you check your e-mail? Daily Weekly Monthly
Occupation Years there?
Including commuting time, how many hours per day will the dog be alone?
Spouse's occupation? Years there? Daily hobbies and activities:
Does anyone in your family have pet allergies? No Yes
Please list the names and ages of all people residing in your household:
The Dog You Are Interested In
Do you prefer: Female Male No Preference
Color preference: Black & White Tri Color Merle Red Other No Preference
Are you interested in a particular dog (give name)?
Please tell us a little about yourself, why you want this dog, and why you want a Border Collie:
Would you consider a special needs dog? Yes No
Age preference (check all that apply): less than 1 year 1-3 years 4-7 years 8 years and older doesn't matter
How much do you expect to spend each year on veterinary care? How much do you expect to spend each month on food, grooming, etc?
Are you looking at adopting a dog from some place else? Yes No
If yes Where? If yes Why?
Your home and yard
Do you live in: House Apartment Condo Other Other: Approximate size of yard? Do you rent? Yes No
If you rent, does your rental agreement permit pets? Yes No
Does your rental agreement have a size limit on a dog? Yes No If yes how many lbs?
Landlord's name, address, and phone number (required)
How long have you lived there? YearsMonths
What type of area do you live in? City Suburb Rural
Are there any ordinances limiting the number of dogs you can have on your property? No Yes If Yes how many?
Is your property fenced? Yes No Type/height of fence?
If not fenced, how, when, and where will your dog be exercised?
Where will the dog spend its time alone (Please be specific)?
Where will the dog sleep at night (Please be specific)?
Care and Training of the Dog
Would your dog be living with or have any of these neighbors/visitors, or encounter any of these situations/activities regularly?(Check all that apply)
Who will provide the majority of care for this pet?
What activities or work will your Border Collie have?
Have you ever participated in an obedience class? Yes No
Do you plan to enroll the new dog in an obedience class? Yes No
How do you feel about using dog crates?
When you go on vacation, where will your dog go and who will care for it?
If you move, what will you do with your dog?
Once your dog arrives, how long do you feel he/she needs for an adjustment period?
What behaviors would you have a hard time dealing with in a dog you adopt? (check all that apply)
Please list all other animals you have owned in the last ten years (living or deceased):
Name/Type/Sex of pet
Age
Spayed/Neutered
Yes No
If you do not currently have a dog, how long since you had one? If you don t currently use a vet, please provide previous vet s name and number (if applicable).
Other Information
How did you hear about us?
Have you ever applied to adopt a dog from us? Yes No If so, when and which dog?
What conditions or circumstances would cause you to give up a dog?
Are you aware that if you adopt a dog from MWBCR, you are required to return the dog to us if you can no longer keep it: Yes No Please answer the following questions briefly:
What is heartworm?
How can it be prevented?
How often should your dog have booster vaccinations?
How often should your dog be checked for internal parasites?
References
Please list four (4) people who have known you for at least 2 years. We recommend your vet, dog trainer, neighbor, personal friend, co-worker. Please do not list family members as references. Please give home numbers only.
1.Name of Vet: Phone Number:
Address:
2.Name:
Relationship to you: Phone Number:
Address: E-mail Address: When do they check their e-mail? Daily Weekly Monthly
3.Name:
4.Name:
I hereby affirm that all of the above information is true and correct. I understand that submission of this application does not necessarily mean that I will be approved to adopt and that you reserve the right to reject any applicant. I authorize you to verify any and all information set forth in this application and to contact my personal references. Without your initials and $10 application fee (payable on the confirmation page which you will be taken to once you click the submit button), we cannot process your application.
Initials Date
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