If you are interested in adopting one of our dogs, please completely fill out this application. Applications with missing information may be delayed.
One of our volunteers will contact you as soon as possible with advice on how to proceed.
Name of Applicants: Home Address: City: State: Zip Code: Home Phone: Email Address: Employer: Work Phone: When is a good time to contact you by phone? Do you have any children living in your home? (even part-time) Choose One... Yes No Please list all of the people in your home, include age and gender: Does everyone in your family agree about the decision to adopt a dog from Wayward Collie Rescue? Choose One... Yes No Do all of the adults in the house work? Choose One... Yes No If so, who and how many hours are they home? Why do you want a dog? Please list all of the pets you've had in the last 10 years, and what happened to them. Please list all of your current pets, gender, how old and if they are spayed/neutered. Are your pets recieving annual veterinary care? Choose One... Yes No Are they up to date on his/her rabies shot? Choose One... Yes No Are they checked annually for heartworms? Choose One... Yes No Are they on heartworm prevention? Choose One... Yes No What kind? Where will this dog stay when you are not home? Where will this dog sleep? Do you live in a: Choose One... Apartment House Condo Other Do you own or rent? Choose One... Own Rent Do you have a fenced yard? Choose One... Yes No How large is it? What kind is it? Choose One... Wood Cyclone privacy How tall is it? It has come to our attention that some collies will jump a 4 foot fence after being in thier home for a while. (some have taken as much as 2 months to start) What would be your course of action should this occur? Have you ever owned a Herding dog before? Choose One... Yes No Are you aware of a herder's needs? (i.e. grooming, exercise, training) Choose One... Yes No Are you aware that herders are 'barkers'? Choose One... Yes No Are you aware that herders will chase cars, kids, and anything else that moves?? Choose One... Yes No Have you ever obedience trained a dog? If not, are you willing to go to a basic obedience class? Choose One... Yes No How do you feel about crate training? Would you be willing to learn if you've never done it before? Choose One... Yes No Do you own a crate or would you be willing to purchase one? (A crate for large dogs will cost approximately $160.00.) Choose One... Yes No Are you aware of the financial responsibilities of dog ownership...including vet care, medications, food, licensing, shots, grooming...ect? And that total expenses of owning this dog could be $1000.00 or more per year?? Choose One... Yes No Would this dog be a priority in your life? Choose One... Yes No What circumstance, in your opinion, would justify you getting rid of this dog? Our Dog List Which Wayward Collie Rescue Dog are you interested in? Do you have a veterinarian? Choose One... Yes No Name and address of Vet: (will be used as reference) Do you have a groomer? Choose One... Yes No Name and address of Groomer: (will also be used as reference) Please provide 2 personal references that are not related to you. Name and Home Phone of Reference 1: Name and Home Phone of Reference 2: By sending this Adoption Application to Wayward Collie Rescue, you agree to allow us to give our foster parent(s) that are taking care of your animal selection your information. You also agree to release the information of your personal references to Wayward Collie Rescue for verification of your information. Wayward Collie Rescue will not in any way sell, give, rent or otherwise transfer any information on thus application to anyone but those listed above.
Home Address:
City: State: Zip Code:
Home Phone:
Email Address:
Employer:
Work Phone:
When is a good time to contact you by phone?
Do you have any children living in your home? (even part-time) Choose One... Yes No
Please list all of the people in your home, include age and gender:
Does everyone in your family agree about the decision to adopt a dog from Wayward Collie Rescue? Choose One... Yes No
Do all of the adults in the house work? Choose One... Yes No
If so, who and how many hours are they home?
Why do you want a dog?
Please list all of the pets you've had in the last 10 years, and what happened to them.
Please list all of your current pets, gender, how old and if they are spayed/neutered.
Are your pets recieving annual veterinary care? Choose One... Yes No
Are they up to date on his/her rabies shot? Choose One... Yes No
Are they checked annually for heartworms? Choose One... Yes No
Are they on heartworm prevention? Choose One... Yes No
What kind?
Where will this dog stay when you are not home?
Where will this dog sleep?
Do you live in a: Choose One... Apartment House Condo Other
Do you own or rent? Choose One... Own Rent
Do you have a fenced yard? Choose One... Yes No
How large is it?
What kind is it? Choose One... Wood Cyclone privacy
How tall is it?
It has come to our attention that some collies will jump a 4 foot fence after being in thier home for a while. (some have taken as much as 2 months to start) What would be your course of action should this occur?
Have you ever owned a Herding dog before? Choose One... Yes No
Are you aware of a herder's needs? (i.e. grooming, exercise, training) Choose One... Yes No
Are you aware that herders are 'barkers'? Choose One... Yes No
Are you aware that herders will chase cars, kids, and anything else that moves?? Choose One... Yes No
Have you ever obedience trained a dog? If not, are you willing to go to a basic obedience class? Choose One... Yes No
How do you feel about crate training?
Would you be willing to learn if you've never done it before? Choose One... Yes No
Do you own a crate or would you be willing to purchase one? (A crate for large dogs will cost approximately $160.00.) Choose One... Yes No
Are you aware of the financial responsibilities of dog ownership...including vet care, medications, food, licensing, shots, grooming...ect? And that total expenses of owning this dog could be $1000.00 or more per year?? Choose One... Yes No
Would this dog be a priority in your life? Choose One... Yes No
What circumstance, in your opinion, would justify you getting rid of this dog?
Which Wayward Collie Rescue Dog are you interested in?
Do you have a veterinarian? Choose One... Yes No
Name and address of Vet: (will be used as reference)
Do you have a groomer? Choose One... Yes No
Name and address of Groomer: (will also be used as reference)
Please provide 2 personal references that are not related to you.
Name and Home Phone of Reference 1:
Name and Home Phone of Reference 2:
By sending this Adoption Application to Wayward Collie Rescue, you agree to allow us to give our foster parent(s) that are taking care of your animal selection your information. You also agree to release the information of your personal references to Wayward Collie Rescue for verification of your information.
Wayward Collie Rescue will not in any way sell, give, rent or otherwise transfer any information on thus application to anyone but those listed above.
