GLEN HIGHLAND FARM, SWEET BORDER COLLIE RESCUE

Similar documents
Adoption Application Form

Dog Adoption Application

Berger Picard Club of America Rescue Adoption Application

BOSTON TERRIER RESCUE CANADA

Come Bye Border Collie Rescue P.O. Box 332 Highland, IL 62249

Prospective Puppy Buyer Questionnaire

Doberman Rescue of Rockdale, INC Adoption Application Carole Rushing Owner

Date Name Address City State Zip Daytime Phone Evening Phone Cell Phone address

Please fill this form out completely and it to:

Dog Adoption Application for

Walton Salley Corgis and Friends of Walmarsh. Adoption Coordinator, Edith Stull

We no longer adopt to NH, CT or RI residents due to those states strict regulations regarding imported dogs.

Adoption Application

HART Hoopeston Animal Rescue Team

LEAD ME HOME ADOPTION APPLICATION

Project POOCH, Inc. Community Outreach Office

Please complete all fields that apply to you and mail the application to the address at the bottom of the last page.

GENTLE BEN S GIANT BREED RESCUE ADOPTION APPLICATION/CONTRACT. P.O. Box 533, Zelienople, PA Cell#

ADOPTION APPLICATION

IGCA RESCUE ADOPTION APPLICATION

Please print clearly. (Must be at least 21 years of age to adopt.) Date of Birth: YOUR NAME: Name of animal in which you are interested:

Eyota Mastiffs Puppy Questionnaire.

German Shepherd Rescue of New England, Inc. Adoption Application

Please read before completing our Questionnaire. ADOPTION PROCESS PLACEMENT POLICIES

Collie Rescue of Tampa Bay, Inc.

Adoption Application

Dog Adoption Questionnaire. Phone (Home) (Mobile) (Work) Address: Postcode: Address:

Puppy Application. Referred by: Please check or circle answers not requiring written answers.

DOG ADOPTION APPLICATION

Adoption Application for an Icelandic Sheepdog Dog

Tell us about your family or household

MAS Rescue, Inc DOG ADOPTION QUESTIONNAIRE

ADOPTION APPLICATION

Personal Information. Name: Date of Birth:

Adoption Questionnaire

CHESAPEAKE RETRIEVER RESCUE OF WI ADOPTION APPLICATION

Are you applying to another rescue in this state, if so, which? Are you applying for another pet on the SPAY-LEE website? If so, which one/s?

The Humane Society of the Southeast, Inc.

ADOPTION and FOSTER HOME APPLICATION Missing fields will not allow DHDR to process your application.

1. Please complete the application and MAIL to the address listed on the bottom of your application; to

Adoption Application

HART Hoopeston Animal Rescue Team CAT ADOPTION QUESTIONNAIRE

ADLER STEIN KENNELS PRE-PURCHASE QUESTIONNAIRE

ANIMAL RESCUE FOUNDATION of Louisiana

Adoption Application. The Adoption Process

Sylvan Lake & Area Serenity Pet Shelter Adoption Application Form

CATAHOULA RESCUE OF NEW ENGLAND Adoption Application

ADOPTION APPLICATION

DOG ADOPTION APPLICATION

Today's Date: Show Location: Applying to: Foster Adopt. Name of Dog(s) Applying for: Breed/Type: Applicant(s) Name: Address: City: State: Zip:

Application For Adoption

Dog Adoption Criteria

Dog Adoption Application

Adoption Application

Rhea County Puppy Mill Adoption Application

Puppy Application. Referred by: If not referred to us, how did you hear about Genteel Standard Poodles?

Total number of children in your home: Ages of children:

HAMMOND ANIMAL CONTROL ADOPTION APPLICATION

CAT ADOPTION APPLICATION

Dog Adoption Application Form

Applicant #1: First Middle Last

ADOPTION APPLICATION

Name(s) (both names if a joint application):

Durant Animal Rescue Alliance

Signature: Date: Name Printed: Signature: Date: Name Printed:

Paroled Pet Application

BULL MOUNTAINS/DESERT MOUNTAIN BELGIAN MALINOIS

The minimum age to adopt a pet is 21.

Fill out the application below if you are interested in adopting or fostering a pet. Please complete all sections of this form. Gender.

Adoption Questionnaire

Adoption Application

Other people in your household Name Relationship to you Age

Adoption/Foster Application - Feline

310 Carver Lane, East Peoria, IL Phone: (309) Fax: (309)

Chattahoochee Valley Bernese Mountain Dog Club Questionnaire for Prospective Rescue Adoption Family

Bull Mountains/Desert Mountain Belgian Malinois. Puppy Questionnaire

Auld Sod English Cocker Spaniels P.O. Box 760 Tracyton, WA (360)

ADOPTION QUESTIONNAIRE FOR A GSD RESCUE

SAVING GRACE ANIMAL SANCTUARY CANADA & PASSIONATE PAWS LTD. DOG ADOPTION QUESTIONNAIRE

Personal Information Name Age Physical Address

- Adoption Application Instructions

ADOPTION APPLICATION (PLEASE READ and KEEP the following page for your reference)

ADOPTION APPLICATION

would like to introduce Fostering Explained

VOLUNTEER FOSTER HOME APPLICATION. Name (primary foster parent of the dog) address: Home Address City, State Zip Home Phone Cell Phone:

German Shepherd Rescue of New York, Inc. P.O.Box 242, Delmar, NY

Personal Information (please print): Full Name: Complete Address: Home phone: Best time to call:

Name: Current Address: City: State: Zip: Former Address, if at current less than five (5) years: Home Phone: WorkPhone: Age: Address:

ADOPTION QUESTIONNAIRE

GALT does not adopt to families with children the age of six and under unless they are previous greyhound owners or currently have a greyhound.

All dogs are spayed/neutered before placing, current on vaccinations, and are micro-chipped.

SDR Dog Adoption Application

Name: Spouse/Partner s Name: Address: Home Phone: City/State/Zip: Work Phone: Address: Cell Phone: TX DL # : Employer:

COMPANION ANIMAL FOSTER TO ADOPT APPLICATION

(Trial) Application to become a Foster Carer for the Dogs Homes of Tasmania

Total number of children in your home: Ages of children:

Adoption Application

Juno Humane Inc Adoption Application Please to Mail to: PO 261 Hobe Sound Fl Phone:

Getting to Know You PRE-ADOPTION QUESTIONNAIRE Show Tyme Shih Tzu. (Please print & fill out as much as you feel comfortable sharing!

ADOPTION APPLICATION

Transcription:

GLEN HIGHLAND FARM, SWEET BORDER COLLIE RESCUE ADOPTION APPLICATION GLEN HIGHLAND FARM, SWEET BORDER COLLIE RESCUE 217 Pegg Road, Morris, NY 13808 Lillie Goodrich 607-263-5415 fax: 607-263-5325 email: rescue@glenhighlandfarm.com Please fill out the following application completely. The adoption process is designed to match appropriate homes with appropriate dogs. While many dogs may be attractive to the eye, we are very careful to understand the lifestyle of each adopter since we clearly understand the individual dogs in our care and not all border collies are the same. Before you proceed with the application, we have two qualifying questions - 1. Do you have a 5 foot or higher fenced-in yard or an electronic fence? No Yes If you have a LARGE unfenced property, pls describe details below. We do make some exceptions to the fencing requirement but the property must be large and more rural. 2. Are ALL of your children 7 years or older? No Yes We will also be asking you to provide pictures of your yard if you visit, including the driveway and nearest roads plus proof of fencing and yard area. We may also conduct a home visit to see your home before placing a dog with you. Please provide an email address where we will contact you as quickly as possible. Name Address City State Zip WE ONLY ADOPT INTO CT, DE, MA, MD, ME, NH, NJ, NY, PA, RI, VA, VT, & SE CANADA Phone home/work Fax/e-mail (print clearly) IF you do NOT have email, pls call us to follow up on your application. Occupation How did you hear about Glen Highland Farm? What is your ideal time frame for visiting the Farm to adopt? Age & Sex of Children

Are there a lot of children in the neighborhood and/or do children frequently visit you or grandkids (be specific about your situation)? are there other adults in the household & relationship? Their ages: their relationship to you: Describe a typical day in the dog s life with you & in your home (be specific):. _ Why have you decided at this point to get a border collie? Have you had a rescue dog before? If yes, describe the situation: Why do you want to adopt a RESCUED Border Collie? Dogs/Animals in current home (age, sex, breed, temperament, socialization w/other dogs-inc birds cats Which animals are spayed or neutered? How many dogs have you owned in the past 5 years?. If no longer own a dog, please give reason why Preferences for a dog: age sex Would you consider an older dog (4 years or older)? Would you consider a cross? Would you consider a dog that has a physical problem (for example, hip dysplasia, epilepsy, etc.) that might be controlled or cured with the use of drugs, or surgery? Would you consider a dog that has an emotional problem (for example, separation anxiety, fear aggression, etc.) that might be controlled or cured with training, behavior modification, or the use of

drugs? Would you consider more than one dog? Are you looking for a working/herding dog? Companion? or for formal obedience, agility, flyball? Pick the 5 most important descriptions of what you are looking for in this new dog obedient playful easy going energetic focused athletic housetrained good w/kids good in car performance agility/sports affectionate walking/hiking companion good w/other dogs calm high drive eager to bond needs nurturing no issues w/people smart Which looks would you consider (check all that apply): rough coat (long hair? smooth coat/shorter hair? Red & white Black & white Tri-color Color/Coat are irrevelant Is this dog allowed on the furniture? Where does the dog sleep? How important is it that the dog is already housetrained? How do you use crates with your current dog and with a new dog? Own or Rent Home If not own, do you have permission from your landlord to have pets? Describe the home, property (busy street,etc acreage) What distance is the road from your home & how busy is the traffic? Years at present address Are there regular visitors to the home with whom dog will interact with? _My family visits and my friends visit. Is your neighborhood urban? Suburban? Rural? Are there any unusual sounds nearby like a firehouse, train, school w/school bus pick ups, hunting Club, airport, etc? Do you live in a development or other area where there are a lot of houses nearby? Do you live in an apartment? A condo? A mobile home?

A single-family house? Other dogs in neighboring yards? Do you have a fenced yard or outdoor kennel? What kind of fence? How large is it? How high is the fence? Will the dog be allowed to run loose? Does a dog you adopt need to go to dog parks? Will you have your dog on a run or trolley, or tied out at any time? How do you intend to exercise this dog? Hours Dog Left Alone Each day Where will dog spend the day when alone (be specific please)? Are you planning to enroll your dog in an obedience/training class? What type of training? If not, how do you intend to train this dog? What is the most challenging training situation you have previously faced with dogs? What is the most important thing you need to do for a rescued Border Collie from your perspective? Who is primary caretaker References (2 required, state relationship, no relatives please, neighbor required w/contact info) YOU MUST PROVIDE OR WE WILL NOT CONSIDER YOUR APPLICATION Veterinarian (names, address, phone)

Adopter's Statement of Commitment All of the above information I have given is true and complete. Should an un-neutered or unspayed dog be placed with me, I agree to have it altered within one month of adoption or by a date agreed upon by me and the Rescue representative. I also agree that this dog will reside in my home. I will provide the dog with adequate food, water, shelter, training, affection and medical care and the dog will not be tied out or on a run. Fencing will be in place or some other form of containment, as agreed upon. I understand that Lillie Goodrich/Glen Highland Farm, is not responsible for the accuracy of information received about the temperament, habits or physical condition of dogs available for adoption. However, all information provided is given in an effort to do the best in knowing a dog prior to adoption. Adopter signature: Date EMAIL (please print clearly or we cannot contact you) Rescue Statement of Commitment We reserve the right to refuse an applicant for any reason if we feel the needs of the dog will not be properly met or the adoption is not in the best interest of the dog. Glen Highland Farm/Sweet Border Collie Rescue is a non-profit organization, therefore the adoption fees are donations to help us continue the work in helping dogs in need. The adoption fee of $325 covers vet, medical costs and supplies as well as the cost of adoption from the shelter. The medical history of the dog is provided, as well as all shots necessary for adoption. Thank you for contacting us regarding adoption. You will be contacted shortly in response to your application.