The application below can be copied and e-mailed or either printed and
mailed back to us.  Please note the Points to Remember and Terms of Adoption .

This page was last updated on: March 31, 2003

Adoption Information
and Application
The application below can be copied and e-mailed or either printed and
mailed back to us.  Please note the Points to Remember and Terms of Adoption .

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.


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 West Texa Sheltie 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 West Texas Sheltie Rescue?


Do you accept that there will be an adoption fee (fee determined by age and medical expenses)?



I am in full agreement with West Texas Sheltie 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 West Texas Sheltie 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 West Texas Sheltie Rescue.  If you have any questions,  please do not hesitate to contact us.
Adoption Application
Points to Remember

Fees:   The adoption fee is determined on an individual basis (age, medical expenses, temperament, etc.) This fee is determined individually.  Some of these dogs require extra medical care or special rehabilitation, which will entail much greater expense; we do not require, but would appreciate, an extra donation to help cover these extra expenses.

Spaying/Neutering:  Any dog adopted from Northeast Arkansas Sheltie Rescue will have been spayed or neutered, because rescued Shelties are not generally suitable for breeding.  Rescued Shelties make marvelous friends, and placing them in a loving, supportive environment is the only goal we will pursue.  If you would like to acquire a Sheltie with the idea of producing puppies, we would be happy to refer you to one of the approved, responsible breeders.  Breeding Shelties is a time-consuming and expensive endeavor, and one that should not be attempted without knowledge and understanding of this breed and of the many facets of breeding and nurturing puppies.

Contracts:  All adopters of rescue dogs will be asked to sign an Adoption Agreement.  This contract is legal and binding. 

Miscellaneous:  We recommend you follow a regular inoculation program established by your veterinarian to guarantee you dog stays healthy.  You will receive a complete medical history on your dog, as best as can be determined or documented.  You must also have the dog licensed in accordance with the laws where you live.  Since we do not know you personally, the information from the Adoption Request Questionnaire (which is requested of anyone seeking a rescue Sheltie) will help us to match up the right kind of Sheltie for your family.  Please answer all the questions honestly so that we will be better suited to find the right dog for you.  While we only place our dogs in good, loving homes, and we screen prospective adopters thoroughly, we do not intend for the questionnaire to seem rigid or invasive.
Terms of Adoption
Return:  The adopted dog may be returned to Northeast Arkansas Sheltie Rescue within two weeks of the adoption for full refund of payment if the adopter is not satisfied with any aspect of the adoption.  After two weeks from the above date, no refund will be given even if the dog is returned to Northeast Arkansas Sheltie Rescue.

Transfer of Ownership: The adopted dog may not be transferred to any other person for any reason.   If the undersigned adopter is forced to relinquish custody of the dog at any time, said dog will be relinquished only to Northeast Arkansas Sheltie Rescue.

Refund:  There will be no refund or reimbursement for any expenses incurred by the adopter for the adopted dog, even if it is returned to Northeast Arkansas Sheltie Rescue.

Health Program: The adopted dog will be cared for humanely, including adequate food, water, shelter, and veterinary care and will be licensed in accordance with the laws in the jurisdiction in which he/she resides.  The dog is to be exercised in a fenced yard or on a leash and NOT TO BE FREE TO ROAM THE STREETS.

Reason for Adoption: The adopted dog is to be kept as a house pet.  It shall not be used for medical or any other experimental purpose.  It shall not be chained or tied.

Loss:  If the adopted dog is lost or stolen, the adopter will notify Northeast Arkansas Sheltie Rescue within three (3) days.

Reservation of Rights: Northeast Arkansas Sheltie Rescue reserves the right to enforce this contract in order to protect the welfare of the adopted dog.  It is understood that Northeast Arkansas Sheltie Rescue may examine and may make inquiry about said dog at any time.  If the terms and conditions of the Adoption Agreement are not upheld, Northeast Arkansas Sheltie Rescue reserves the right to terminate the Agreement and to reclaim the dog.

Return Check Charge: There will be a $30 charge on all returned checks submitted by the adopter.

Mailing Address
Northeast Arkansas Sheltie Rescue
PMB 211
276 Southwest Drive
Jonesboro, AR  72401