SHELTIE HAVEN SHELTIE RESCUE, INC.

 ADOPTION APPLICATION  

Prior to meeting any of the dogs in our rescue program, you must submit an adoption application. This will help us learn more about you, your lifestyle, and what kind of dog would be the best match for your family. If you are interested in a specific dog, please note its name on your application.

Sheltie Haven Sheltie Rescue, Inc.
2707 Rosemary Court, Adamstown, MD 21710
Phone: 301-663-0635 Email: sheltiehaveninc@yahoo.com

Adoption Application

Contact Info

* = Required fields *Name: *Address : *City: * State: * Zip :

*Home Phone: - - Work Phone: - - Cell Phone: - - *Email:

Lifestyle
Do you live in: House Townhouse Condo Apartment Farm Other
Do you: Own / Rent your property
If you rent, do you have your landlord's permission to keep a dog? Yes No
Are there restrictions? Yes No If yes, please explain to the right.
Do you intend to keep this dog primarily: Indoors Outdoors
Please describe the outdoor area where the dog will spend time (size, height, and type of fencing; shelter; etc.)
Do you have children under the age of 18 or are there often children visiting? Yes No
Do all family members work? Yes No Please list occupations:
Approximately how many hours a day will the dog be left alone?
Where will the dog be during the day Where will the dog be during the night
Are you willing to crate your adopted dog? Yes No
Please list other pets in the home: Name Species Breed Age Spayed/Neutered Yes No Yes No Yes No Yes No
Have you had pets before? Yes No If so, where are they now or what happened to them?

Pet Preferences
What qualities of the breed made you decide to apply to adopt a Shetland Sheepdog?
Given that this is a work-oriented breed that likes mental and physical exercise on a routine basis, what plans do you have for the dog you adopt? (Walks, Frisbee, obedience, agility, stock work, etc.)
Is there a particular dog you are interested in?	Yes No Name:
Do you have an image of the kind of Shetland Sheepdog you would like to adopt? (Age, size, color preference, etc.)
Preferred sex	No preference Male Female Undecided
Do you have an upper age limitation?	Yes No Age:
Would you consider a Shetland Sheepdog mix?	Yes No
After researching the breed, are there any characteristics you would prefer to avoid in an adopted Shetland Sheepdog? (remember that some Shetland Sheepdogs that come through our program have either been neglected or abandoned, or may have an unknown history).
Are you prepared to pay an adoption fee? (Our current adoption fee is $200. Rescue dogs are spayed/neutered, vaccinated, checked for heartworms and intestinal parasites and treated if necessary, on heartworm preventative, treated with flea/tick preventive, and microchipped). Yes No

References
Please provide the names, telephone numbers, and/or email addresses of two personal references (who are not relatives):
Name Contact Info. (email or phone)
Please provide the name, address, and telephone number of your current veterinarian:
Name Contact Info.
Please add any information about yourself that you think would be useful in helping us select the right dog for you.

Sheltie graphics used courtesy of the Dogpatch and Clan Duncan Free Web Art.