Adoption Application

First name *

Last name *

Home phone #

Cell phone #

Other phone #

E-mail address *

Address *

City *

State *

Zip code *

Do you rent or own your home? *

If you rent, are you allowed to have pets? *

Landlord's name & phone #

Which dog(s) are you interested in? *

Who lives in your home with you? *

Are there any children in the home? *

If yes, please list their ages

Is your yard fenced? *

If so, how high is the fence?

What animals do you currently have?

Are all of your current pets spayed/neutered? *

Are they current on their shots? *

What dog breeds have you owned in the past? What interests you in a herding breed? *

What types of challenges or behaviors have you worked through with your prior pets?

Are you concerned with shedding? *

Is anyone in your immediate family allergic to dogs? *

If yes or unsure, how will you accomodate your dog(s)?

How do you train your dogs? *

How do you provide exercise for your dog? *

How long will the dog be home alone during the day? *

Where will your dog stay most of the time? Where will your dog sleep? *

Describe your lifestyle *

For what reason would you return a dog? *

Who will take care of your dog should it outlive you? *

Please list the veterinary clinic that you have most recently used *

How did you hear about us?