Name:______________________________________________________________________________ Address:____________________________________________________________________________ City:____________________________State:__________________________Zip Code:_____________ Home Telephone:__________________________Work Telephone:_____________________________ Occupation:__________________________________________________________________________
Why do you want a Sheltie?
Have you ever owned a Sheltie before? If so, do you still have that dog?
During the last two years: Have you lost a pet? If so, explain. Have you had one poisoned? Have you had an animal killed by a vehicle? If so, explain.
For what purpose do you want this dog?
Do you have any other animals? If so, list type, age, and sex. Please list your current vet's name, address and phone number. May we contact them as a reference?
Do you have children at home? If so, list number and ages.
Do you live in a house?______Apartment?_____Condo?_____Trailer?_____ If you rent, do you have the landlord's permission to keep a dog?
Do you have a yard? Is it fenced? What type of fencing?
Do all family adults work?
Is someone home during the day? If not, where will your Sheltie stay (inside/outside)? Explain.
Do you intend to keep this dog primarily indoor or outdoors?
Where will it sleep?
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 the animal (inoculations, veterinarian care, good quality food, grooming, heartworm and flea treatment)?
Are you planning to move in the near future?
Is anyone in your house allergic to animals?
Are you familiar with animal control regulations in your area?
Is this Sheltie going to be a gift? For whom? Explain:
Do you understand that any rescue animal that you adopt from Sheltie Zen Rescue will be spayed/neutered?
What circumstances, in your mind, justify getting rid of a dog?
Are you willing to allow a Rescue Representative to visit your home by appointment?
How did you hear about Sheltie Zen Rescue?
Do you accept that there will be an adoption fee (fee determined by age and medical expenses)?
I am in full agreement with Sheltie Zen Rescue Terms of Adoption (attached). By signing below I am attesting to the truthfulness of my answers. I understand that falsification of any of the above information will be grounds to disallow the adoption of a sheltie. Sheltie Zen Rescue reserves the right to refuse any applicant.
Sigature___________________________________ Date____________________
NOTE: If you are under 18 years of age, a parent or guardian must also sign this application. Thank you for consideration a dog from Sheltie Zen Rescue. If you have any questions, please do not hesitate to contact us. |