Nevada Sheltie Rescue - Adoption Application

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Nevada Sheltie Rescue

Adoption Application

E-Mail this application to: Nevada Sheltie Rescue Please note that we have the right to refuse any applicant.

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Nevada Sheltie Rescue

Adoption Application

Personal Information

Name:

Address:

City / State / Zip

Phones: Home (     )                                          Work: (         )

Employer:                                                                            May we call you at work?

E-mail address:                                                                  Do you check e-mail every day?

**Name of dog you are applying for?

Do you have an application pending with any other rescue group ?                    Have you been turned down by any other group?

Why do you want a rescue Sheltie?

Sheltie Habits

Have you ever owned a Sheltie before?

Are you aware of all a Shelties needs and habits? (i.e. regular grooming, exercise)

Are you aware that Shelties are "barkers"?   (doorbell, UPS man, mailman, strangers etc etc)

Are you aware that a Sheltie is a long haired, double coated breed, that WILL SHED?

Are you aware that Shelties may be somewhat shy around new people, and may take awhile to bond with?

Are you aware that because of their shyness, Shelties are a high runaway risk during the first month?

Your Present or Previous Pets

Please tell us about your past and present pets; (continue on back if needed)

Breed   -     Sex -   Fixed? -     Age you got pet    -      Age pet left you     -     What happened to pet

If any of your present or past pets were not spayed or neutered, please explain why?

Do you (or did you) always keep all of your pets up to date on all shots?
on heartworm prevention medication?                    what brand?
on flea prevention medication?                                     what brand?
licensed in your county?
routine vet visits?

What dog food do you plan on feeding your dog ?

Name, address and phone number of your Vet:

Please circle one: My vet may or may not be used as a reference.

Your Home

Who lives in your home?

Please list ages of every person living (even part-time) in your home:

What is the speed limit of the road you live on?

Do you live in a: (circle one)   House    Apartment      Condo    Other

Do you own or rent?                                      If renting, does the landlord allow pets?

Do you have a yard for the dog to use?

Is it securely fenced, with no holes or gaps, on all sides so that a small animal could not escape?

Describe the material and height of your fence?

Does your fence come all the way to the ground to prevent an animal slipping under?

Does a door from your house open directly into the fenced yard?

Are you planning a move in the forseeable future?

If you were to move, would you insist on a new house having a fenced yard?

If you don’t have a fence......

How will this dog be allowed to relieve itself daily?

_____ I will walk it on leash
_____ I plan on training this dog to stay in my yard
_____ I have a "tie-out" trolley or stake.
_____ Other explain:________________________________

How will you allow this dog to run and get exercise?

_____ I will walk it on a leash for __________ miles every day.
_____ I have a large yard for the dog to run in.
_____ There is a large park or field nearby where I can let it run
_____ Other: _____________________________________

Daily Schedule

Do all adults in the house work away from home?
Will anyone be home during the day with the dog?

Specifically, how many hours will this dog be home alone daily?

Where will this dog stay while home alone?
_____ loose in house
_____ outside
_____ crate
_____ X-pen
_____ kitchen
_____ basement
_____ other: explain:_________________________________

Please check all that apply in your home:

____ Busy household - visits by friends, in and out a lot.
____ Noisy - TV, stereo, machinery, tools, children playing, dogs barking
____ Moderate - normal comings and goings
____ Quiet - "homebodies" few guests, come home and stay home
_____ Lots of children in the neighborhood
_____ Live on busy street or highway

Where will this dog spend most of its time?
______ outside
______ inside
______ outside during the day and inside at night
______ outside and in garage

Will this dog be allowed in all the rooms in your home?
Explain:__________________________________________

Where will the dog sleep at night?

Your preferences

Do you have the time and or patience to housetrain a dog, if it is not already trained?

Would you be willing to take a "special needs" (scared, shy, handicapped, or needs medication) dog?

Would you be willing to work with a "behavior problem" dog?

Would you be willing to take an older dog?                      Up to what age?

Do you have a color preference?

Do you have a sex preference ?
Will you take the opposite sex?

Do you have an age preference?

Do you have a size preference?

Financial commitment

Are you aware of the financial responsibilities of dog ownership…. Including vet care, medications, food, licensing, shots, grooming…etc?

AKC reports it costs over $1000 per year to properly care for a dog, will this fit into your budget?

Will you agree to use only a premium, quality dog food for your sheltie?

If your Sheltie needed expensive surgery, or ongoing medication, would you:

_____ do whatever I am able to do to get my sheltie whatever it needs
_____ give the dog back to us
_____ have the dog humanly euthanized
_____ keep the dog for as long as it could go without any treatment
_____ Other: ________________________

ARE YOU AWARE THAT IF your Sheltie was to get loose and run away, because this breed is so shy..... it could take $1000's of dollars in posters, ads in newspapers, and rewards, to find it?

Check any of the following circumstances that would cause you to give this dog back to us?   (Check all that apply)

____ a new job (working more, longer hours)
____ kids grow up and move out
____ divorce
____ moving
____ new baby
____ if the dog needed expensive vet care
____ bad habits (pottying in the house, chewing, destruction, ... etc etc.)
____ if it bit someone
____ other (please explain)_____________________________________

I have checked over this application, and have answered all questions?

Are you aware that the next step in becoming approved, is for someone from rescue to come out and meet with you?

How are you planning on getting this dog to you?   (We don’t ship dogs)

Are you aware of the fees that our rescue organization charges ?

Puppies up to 1 year old........ minimum donation $ 250
Adults 1-9.......... minimum donation $ 150
Senior Adults 10+.......... minimum donation $100

All of the answers I have given, are true and correct to the best of my knowledge.      I also understand that if any of my answers are shown to be false at a later time, that the adoption contract will become null and void, and I will immediately return the Sheltie to Nevada Sheltie Rescue.

___________________                 _____________________________

        Date                                                      Signature of applicant

Please check to be sure all questions are answered.      Incomplete applications are not accepted.

Cut, paste and e-mail this application to us.

Please note that we have the right to refuse any applicant.