ADOPTION APPLICATION - Tri-County Collie Rescue
We are very happy that you are interested in adopting from us. Please fill out the following application so we can get to know you a little better. Please be truthful in your answers. Also be aware that this application is only an interviewing tool and filling this out does not guarantee that you will be picked as an adopter. AT THIS TIME, THE BYLAWS ONLY ALLOW OUR DOGS TO BE PLACED IN THE HOMES OF RESIDENTS OF MICHIGAN AND THE OHIO BORDER, due to the distance involved in performing home checks, an initial visit, and transportation of the animal. After reviewing your application, we will contact you if we have further questions. IF YOU DO NOT LIVE IN THE TARGET AREA, PLEASE DO NOT APPLY.
Address Line 2
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Saint Kitts and Nevis
Saint Vincent and the Grenadines
Trinidad and Tobago
Bosnia and Herzegovina
United Arab Emirates
Papua New Guinea
Central African Republic
Democratic Republic of the Congo
Republic of the Congo
Sao Tome and Principe
United Republic of Tanzania
Country / Region
If you presently have children living with you, please list their names and ages:
Any other people living in the home besides children? If so, please list and indicate relationship to you:
Does anyone living in the home:
have allergies to animals?
If you are renting your home, name and phone of owner/landlord:
Please describe your home (i.e. house, mobile home, apartment, etc.)
If you have lived here for less than two years, please list previous address.
Describe your neighborhood:
Describe your Yard:
Access to street from yard
Does that door that you will use to let the dog outside open directly into a fenced area?
Does your home have a "doggy door"?
If your answer is yes, when is the doggy door available to be used?
We do not have fencing, we have a chain and dog house for the dog to use.
If none of the above, please explain how and where you will allow the dog to exercise and relieve itself?
Do you have other pets at this time?
If yes, are all pets spayed or neutered?
Do you believe in using heartworm preventative?
Please list other pet(s), their species, name(s) and age(s) and whether they are indoor or outdoor pets.
If you owned pets in the past and do not currently, what happened to them?
What role would you like your new dog to play in your life?
Please indicate where your dog would stay when you are not at home:
Please indicate where your dog would stay while you are at work:
Please indicate where your dog will sleep:
How many hours per day will the dog be alone?
Have a crate and plan to use it
Do not have, plan to buy
Do not plan to use a crate
If you do plan to use a crate, how many hours per day will the dog be crated?
If you do not plan to use a crate, please explain why.
What kinds of solutions would you be willing to try if housebreaking accidents occurred?
What kinds of solutions would you be willing to try if the dog was too "busy" or "hyper"?
In terms of brushing, I am:
Up to a lot of brushing
Up to a little brushing
Going to use a professional groomer
PLEASE LIST VETERINARIANS YOU HAVE USED
Veterinarian-1 Phone number
Veterinarian-2 Phone number
PLEASE LIST TWO PERSONAL REFERENCES and PHONE NUMBERS
PLEASE LIST ANY GROOMER OR TRAINER YOU HAVE USED and PHONE NUMBERS
I am interested in the following dog(s):
I/we are not interested in any dogs listed, but please put us on the list for a dog that meets the following criteria:
Please include any other information you would like to provide to help us make a match between you and your new dog:
I CERTIFY THAT:
(you must check all three statements)
(1) I understand this application is only an interviewing tool, and my submission does not guarantee the placement or availability of a dog to my family.
(2) I understand that that applications will not be returned.
(3) I understand that incomplete applications will not be processed.
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