Reign & Hail Sheltie Rescue of PA-- Application Page

Reign & Hail Sheltie Rescue of Pennsylvania

Adoption Application


First Name: MI: Last Name:
Address 1:   Address 2:
City State Zip
Home Phone   Work Phone:
() ()
E-mail address:     Do you check e-mail every day?
Employer's Name:   Hours you are at work?:
May we call you at work?     
   
Name of dog you are applying for?
First Choice: Second Choice: Third Choice:

Do you have an application pending with any other rescue group?: 

Why do you want a Sheltie? 

Please tell us about ALL the pets you have had in your adult life:
Breed: Sex:    Neutered or Spayed:
What Happened to this animal? Please be Specific
Breed: Sex: Neutered or Spayed:
What Happened to this animal?  Please be Specific
Breed: Sex: Neutered or Spayed:
What Happened to this animal?  Please be Specific
Breed: Sex: Neutered or Spayed:
What Happened to this animal?  Please be Specific
Breed: Sex: Neutered or Spayed:
What Happened to this animal?  Please be Specific

If your current or previous pets were not spayed or neutered, please explain why?
Do you keep all of your pets up to date on all shots?
On heartworm prevention medication? Flea prevention medication? 
Licensed in your county?   Do your pets have yearly vet check-ups?

Which brand of Heartworm prevention and or Flea prevention medication do you (did you) use on your pets?

Who is your current/previous Veterinarian?
Vet's Address:
City and State: ,
Telephone Number: ()
May we use your vet as a reference?

 Please list the names, relationship and ages of everyone living in your house.
Please include anyone who lives with you part-time.

Do you live in a:

House Apartment
Condo Other (Please Specify)

Please Check One: I OWN or RENT

If renting, does the landlord allow pets?
Do you have a fully fenced yard (with no gaps) for the dog to use?
Does the door that you will use to let the dog outside, open directly in to the fenced area
If not, how will the dog be exercised?
Will this dog be home alone during any part of the day?
If so, during what hours?
Where will this dog stay while you are gone?

Please check all that apply in your home:

Busy household - visits by friends, in and out a lot, children, parties at home 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
   
Do you intend to keep this dog indoors or outdoors?
Where will the dog sleep?
 
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" (blind, deaf, handicapped) dog?
Would you be willing to work with a "behavior problem" dog?
Would you be willing to take a much older, more needy dog?
Have you ever owned a Sheltie before?
Are you aware of all a Shelties needs? (i.e. grooming, exercise)
Are you aware that Shelties are "barkers"?
Are you aware that Shelties may be somewhat shy around new people, and may take awhile to bond with?
Do you have a color preference?
Do you have a gender preference ?
Do you have an age preference?
Do you have a size preference?
Are you aware of the financial responsibilities of dog ownership…. Including vet care, medications, food, licensing, shots, grooming…etc?  And that total expenses of owning this dog could be $1000.00 per year?
Would this dog be a priority in your life?

Check any of the following circumstances that would force you to give up this dog? (Check all that apply)

A new job or working long hours Illness
Divorce Bad habits (pottying in the house, destruction, ... etc etc.)
Moving to house or apartment that won't allow pets If it bit someone
New baby Other (please explain)

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

Puppies up to 1 year old minimum donation $ 300
Adults 1-9 minimum donation $ 250
Senior Adults 10+ minimum donation $ 175
   

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

Please note that we have the right to refuse any applicant

 

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