Note:

Due to the number of applications we receive each week, incomplete applications will not be reviewed or accepted.

Collie Rescue Network:

Adoption Application

If you are interested in a specific collie, please indicate the collie's name here:
   
Date:    

 

Name: Home Phone:
Address: Work Phone:
City, Province, P.C.: E-Mail:

 

Is your residence a:       How many people live at this residence?
Do children live/spend time there? What are their ages?

 

Do you currently have any:

Are your current pets spayed/neutered:

Please describe your current pets, if you have any:

 

Please list the name, address and phone number of the veterinarian  you will be using if you adopt:

 

Why would you like to adopt a rescue collie?

 

Please indicate all behaviours that are important to you.  List any additional behaviours in the "other" column.
Normally Quiet Housetrained Knows Basic Obedience
Barks to Alert Does Not Shed Good With Other Dogs
Accepts Cats Good With Small Children No Grooming Required
Friendly With Strangers Does Not Dig Can Be Left Alone
Playful/Active Laid Back/Calm Crate Trained

Other: 

 

This dog will mainly be:

At night this dog will sleep:

 

Have you adopted from a rescue or shelter before? If yes, from whom?
Have you ever been denied by a rescue or shelter? If yes, why?

 

Is your yard fully fenced?   Please describe the fencing:

 

Who would be the primary caretaker of the collie:

How many hours per day will the collie be alone?

 

Does your job require you to relocate?

If yes, what will you do with the collie when you relocate?

 

Would you attend an obedience class with a rescue collie?

Have you attended obedience classes with another dog?
       
How do you spend your free time?
Is there anything else you would like to tell us about your home, your family or your lifestyle?

 

**Important Information Below.  Please Read Carefully**

Do you understand that Collie Rescue Network makes NO warranties concerning the temperament, habits or behaviours of any collie you may choose to adopt and all adoptions are based solely on your own  judgment?     Yes, I understand and agree      No, I do not understand or agree
Do you understand that Collie Rescue Network requests a minimum $275.00 adoption donation in order to help off-set some of the costs incurred while the collie is in the rescue program?    Yes     No
Do you state that all the information on this form was filled in by the person(s) applying for a rescue collie with Collie Rescue Network and that all information on this adoption application is true and accurate to the best of your ability?    Yes   No

 

If your adoption application is approved you will be required to provide an actual signature on this form.  A copy will be printed and provided to you for this purpose at that time.