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    We are working on an online application form, For now though, please use the format below to enter your responses in a text editor or you can also print, complete and scan the application.  EMail it to our application coordinator at Wethreewests@gmail.com

    Northeast Ohio Shetland Sheepdog Inc Adoption application

     

     

     

    Name:

     

    Address:

     

    City:                                                                 State:                            Zip Code:

     

    Phone:  Home (      )                                         Work  (      )

     

    Occupation/Employer:

     

    May we call you at work?

     

    Email Address:

     

    Do you check Email every day?

     

    How long have you lived at your current address: ______________If less than two years, then list your previous address:

    ______________________________________________________________________

    Type of residence:  House __________ Apartment __________ Mobile home________ Condo __________

     

    Do you:  Own _____ Rent _____ If renting, do you have permission to have pets?

    ____________________

     

    Does the place you live have any restrictions as to the size, weight, or number of dogs you are allowed to own?  ___________

     

    Landlord’s name: _____________________ Phone (        ) __________________

     

    Number of children in home: ___________ Ages: _________________________

     

    Are there others besides your immediate family residing in your home? __________

     

    If Yes, who? __________________________________________________

     

     

     

    Does your home have a yard? _________ Is the yard entirely fenced? _____________

     

    What type of fence and how tall is it? __________________________If you do not have

    a fence, how do you plan to confine the sheltie to your property?

     

    _______________________________________________________

     

    Have you had pets in the last five years? _________________

    What kind? __________________________

     

    What happened to those pets? ___________________________________________

     

    Were they spay/neutered: __________ If not, why? __________________________

     

    Do you intend to keep the sheltie indoors or outdoors?  Please elaborate!

    ____________________________________________________________________

    ____________________________________________________________________

     

    Where will your dog be kept while you are away from home (Crate, Baby gated in room, Full run of house, outside in fenced area, etc.)

    _________________________________________________________________

     

    What is the longest period or time your dog may be left alone?

    _________________________________________________________

     

    Who will care for your pet(s) if you go away on vacation?

    _________________________________________________________

     

    Will your dog be permitted on your furniture? _________________

    In your bed? _____________________

     

    Will you take your new dog to obedience class if needed? _______________

     

    List any reason(s) that would cause you to “give up” your Sheltie: (Divorce, Move, Baby, Allergies, etc.) ________________________________________________________

    ____________________________________________________________________

     

    Since most of these dogs have unknown medical backgrounds, are you willing and prepared to provide any needed medical treatment? ___________________

    Would cost be a factor? ______________________

     

     

     

     

    Current veterinarian’s name

    _________________________________________________________________

     

    Address: __________________________________________________

    City: ____________________________ State: ______________ Zip: ____________

     

    Phone: (          )____________________

    How long have you been a client? ___________________

     

     

     

    Do you have a sex preference for a Sheltie?    Male: __________     Female: __________

    No preference: ____________

     

    Do you have a color preference? _____________

    If yes, what color? ________________________________

     

    What is the oldest age Sheltie you would consider? _____________ Would you consider a “special needs” Sheltie?  (Deaf, Blind, Behavioral problems, Medical issues, etc.)

    _________________________________________________________________

     

    Why do you want a Sheltie? ___________________________________________

     

    Are you willing to allow a rescue representative to visit your home by appointment before and after the adoption? _______________ If not, please explain why:

    _________________________________________________________________

     

     

    PLEASE READ AND INITIAL EACH STATEMENT BELOW

     

     

    I certify that the information I have provided on this form is true and correct

    ____________

     

    I am financially able to provide the Sheltie with the proper food and veterinary care, which may be costly.  (National average expenses for a dog is estimated to be $600.00 or more annually)

    _____________

     

    I understand that any false statements constitute grounds for confiscation/surrender of the Sheltie back to the rescue upon demand.

    _____________

     

     

     

    I agree that if the adoption is unsuccessful that I will contact the rescue immediately and return the Sheltie to them.

    ______________

     

    Under no circumstances will I place this Sheltie with another person, organization, relative, or anyone else other than the rescue or their authorized representative.

    ______________

     

    I further understand that the rescue may demand return of this Sheltie for any violation of the terms of the adoption contract.

    ______________

     

     

    We reserve the right to refuse any application

     

     

     

    Adoption donations:

    $250     Less than one year  

    $200     Adult Sheltie

    $100     Senior, Special needs, etc.   May be adjusted at discretion of NEOSSR representative

     

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