Northern Chesapeake Sheltie Rescue Adoption Application

Name:

Address:

City/State/Zip:

Phone Number:

e-maill:

Why do you want a Sheltie?

How many dogs have you owned?

When?

Do you still have them?  If not, what happend to them?

What role will this Sheltie have?  (i.e. Pet, watchdog, etc)

Do you have a Veterinarian?

Name:

Do you have children living in your home?

Ages:

House Apartment Condo Townhouse Mobilehome

Do you live in a (select from list)

If renting, does the landlord allow pets?

Do you have a fully enclosed fenced yard?

(We do not approve electric fences)

If not, how will the dog be exercised?

Do all adults in the house work?

Is someone home during the day?

What will you do with your dog during the day while at work?

Do you intend to keep this dog primarily indoors or outdoors?

Where will the dog sleep?

Have you ever owned a Sheltie?

Are you aware of their grooming needs and that they are barkers?

Do you have a color preference?

Sex?

Male Female

Yes No

Are you willing to take an older dog?

If yes, up to what age?

Are you willing to take a Sheltie mix?

Yes No

Yes No

Are you interested in information about becoming a foster home?

Adoption fee:  $250.00