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Peach State Sheltie Rescue, Inc
Name:
Full Address (including city, state, zip):
List
your occupation and whether you are full-time or part-time:
Home Phone:
Work Phone:
E-mail:
1) Why do you want a Shetland Sheepdog?
2) Have you ever owned a Sheltie before?
And
do you still have that dog?
3) If you no longer have them, what happened to them?
4) During
the last ten years (see below):
a) Have you lost a pet (not through death)?
b) Have you had
one poisoned?
c) Have you had an animal killed by a vehicle?
d) Have you had an animal die
due to disease?
If yes, what did it die of?
5) For what purpose do you want this dog?
6)
Do you have any other animals (list names, type, age, sex and whether they are neutered/spayed):
7) Please
list everyone who lives in your household and their ages (including yourself):
8) Please indicate whether
you live in a house, apartment, condo, or trailer:
9) Do you rent or own?
10) If you rent,
do you have the landlord’s permission to keep a dog? If so, please list your landlord's name and phone number:
11)
Do you have a yard and if so, is it fenced?
What type of fencing?
11 b) If you do not have
a fence, how will you provide daily exercise for your sheltie?
12) Do all family adults work and is someone
home during the day?
Please explain:
13) Do you intend to keep this dog primarily indoors or outdoors?
Where will it sleep?
14) Do you have a sex preference?
15) Do you have a color preference
(if so, please list first and second choices)?
16) Would you consider an older dog? To what age?
17)
What size Sheltie do you prefer?
18) Are other members of your household aware that you are considering adopting
a pet?
19) Are you prepared to assume the financial responsibilities of caring for an animal, including inoculations,
heartworm preventative, veterinarian care, good quality food, licensing, etc?
20) Are you planning to move
in the near future?
21) Is anyone in your house allergic to animals?
22) Are you familiar
with animal control regulations in your area?
23) Is this Sheltie going to be a gift? For whom?
Do
they know they are getting the gift?
24) Do you understand that any rescue Sheltie that you may adopt through
Peach State Sheltie Rescue, Inc.. will be spayed/neutered?
25) What circumstances, in your mind, justify getting
rid of a dog?
26) Are you willing to allow a Rescue representative member to visit your home by appointment?
27) How did you hear about Peach State Sheltie Rescue, Inc..?
28) Do you accept that there
will be an adoption fee for the adopted dog?
29) Please provide your vet's name and number. If you do not
currently have need of a vet, please list one you have used in the past 5 years:
I am in full agreement
with the Peach State Sheltie Rescue Terms of Adoption (attached). By sending this e-mail I am attesting to the truthfulness
of my answers. I understand that falsification of any of the above information will be grounds to disallow the adoption of
a rescue Sheltie.
NOTE: If you are under 18 years of age, a parent or guardian must also sign
this application. Thank you for considering a dog from Peach State Sheltie Rescue, Inc.. If you have any questions, of if
we can be of assistance, please do not hesitate to e-mail.
We reserve the right to refuse any applicant.
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