Okanagan Collie Rescue – Application and Reference Check
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Date:
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About
the Prospective Adopter:
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Name:
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Address:
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Phone:
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Email:
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Age Group:
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18-25
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26-45
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46-65
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65+
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Employer:
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Position:
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Is this location a:
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House
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Mobile
Home:
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Apt:
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Townhouse/
Condo:
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How many people live at this
residence?
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Do any children either live
at/spend time at this address?
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If so, what are their ages?
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Do you currently have any
other:
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Dogs:
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Cats:
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If yes, describe them:
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If yes, are they
spayed/neutered?
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If you had other pets in the
past 5 years, and no longer have them, what happened to them?
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If you did, or still do have
any other pets, who is your vet?
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Name: Dr.
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Address:
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Phone:
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What age collie would you
prefer to adopt?
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Less than 1 year
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1 to 3 years
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3 to 5 years
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Older
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Doesn’t matter
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Would you prefer:
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Male
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Female
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What personality
characteristics are you looking for?
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Would you consider a:
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Special needs dog
(epileptic/handicapped?
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Senior?
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What is
your primary reason for adopting a dog?
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Indicate with an “X” behaviours
that are important to you:
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Normally quiet
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Housetrained
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Knows basic training
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Barks to alert
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Does not shed a lot
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Does not require professional
grooming
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Gets along with other dogs
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Good with children
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Accepts cats
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Friendly with strangers
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Does not dig
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Are you looking for an inside
or outside dog?
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Have you ever adopted a pet
from a humane organization?
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If yes, from whom:
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Who would be the primary
caretaker?
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How many hours a day would the
dog be without human companionship?
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How do you spend your free
time?
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Does your job require
relocating?
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If yes, how often?
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What would you do with the dog
if you are required to relocate?
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At night, where would the dog sleep?
(inside house, outside house, in garage or other – please explain ‘other’)
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It your back yard fully fenced?
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Please describe the fence
material and height.
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If not fully fenced, so you
have a fully enclosed dog run? Please
describe.
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Will the dog ever be allowed to
run loose outside of enclosed yard?
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Are you
interested in basic training?
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Have you ever attended
obedience training with another dog?
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*** IMPORTANT INFORMATION - PLEASE READ FULLY BEFORE SIGNING
BELOW. ***
Okanagan Collie Rescue
appreciates your donation to assist in covering costs that may be incurred in
preparing the dog for adoption (e.g. Vet care, Food, Altering, etc.).
Do you further understand that
Okanagan Collie Rescue makes NO warranties concerning the temperament, habits
or background of any dog you may adopt and that all adoptions are based solely
on your own judgment? IF YES, INITIAL
HERE
If you are currently living in a
rental place, Okanagan Collie Rescue will require a letter from your landlord
approving your keeping a dog in your
rental home prior to the signing of the adoption agreement. Do you agree to provide Okanagan Collie
Rescue with the approval letter from your landlord? IF YES, INITIAL HERE _______
Signature of Applicant:
Date application signed:
Please email
this completed form to applications@collierescue.ca | 