PREADOPTION FORM

DATE:__________________________

NAME:________________________________________________________

ADDRESS:_____________________________________________________

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PHONE:___________________EMAIL:______________________________

DO YOU PREFER A MALE ? FEMALE ? EITHER ?

WHAT AGES ARE YOU WILLING TO ADOPT?________________________

(It is not often that we get puppies into our program, although we have had a few. If you are looking for a puppy, please let us know and we will try to direct you to a reputable breeder near you.)

DO YOU HAVE A COLOR PREFERENCE? SABLE ? TRI ? BLUE MERLE ? WHITE ?

Although everyone has their preferences, sometimes putting too many restrictions limits your choices in adopting a dog. Sometimes we have just the right dog, although not the right color, age, or sex. We highly recommend considering meeting the dog before turning it down. Some of our best adoptions turned out to be not anywhere near what they were originally wanting.

1. What sort of residence do you have?

A. house ? apartment ? condo ? townhouse ? duplex ? mobile home ?

B. do you own ? rent ?

C. if rented, pets allowed ? not allowed ? don’t know ?

D. if yes: dogs only ? small pets only ? weight limit ?

C. Name of apartment complex or

landlord__________________________________________________________

D. Phone number ___________________

2. Where do you live?

A. city limits ? country ?

B. Is your street: busy ? off main road ? next to a highway ?

3. Where will your pet live?

A. inside ? outside ? inside/outside ?

B. fenced yard ? chained ? dog lot or pen ? house dog, walked on leash only ? will run loose ?

4. How long will dog be left alone? not at all ? less than 2 hours ? 2-4 hours ? 4-6 hours ? 8-10 hours ?

5. How much grooming do you expect to do? none ? little ? some ? alot ?

6. Do you already have pets at home? no ? yes ? If yes, please list

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__________ _________

Please list pets you have previously had and why you no longer have them.

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7. Name of current or past veterinarian and phone #

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8. Please list ages of any children in your home or that visit with you.

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9. Have you ever owned a collie before? yes ? no ?

10. How did you hear about us?

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11. Drivers license number ________________________State___________

12. If your life circumstances change, what would you do with your pet?

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13. What made you choose a collie? _____________________________________________________________

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14. Smooth collies have short coats but have the same temperament and markings as a rough coated Collie and are easier to groom. Would you consider a smooth collie? yes ? no ?

Please feel free to add any information that might help us in finding the right companion for your home.

Remember that a full grown collie can weigh from 45 to 90 pounds. Is this what you are looking for?

Thank you for your interest in adopting a rescued collie. We hope that we will be able to find the right dog to fit your lifestyle.

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ANY ADDITIONAL COMMENTS:

Due to the rising costs of veterinary care we have had to raise our adoption fees to $150. Senior collies over 8, fees are $100. Occasionally we have puppies under 1 year of age, adoption fee for these puppies will be $200.

ADOPTION FEE STILL INCLUDES SPAY/NEUTER, VACCINATIONS INCLUDING RABIES, WORMING, BATHING AND GROOMING AND HEARTWORM TESTING.

A home visit is required on all adoptions prior to adoption.

Microchipping is available for an added $40 There is a 24.99 fee to register your microchip with the company. You must be willing to register the chip or it does no good to get the chip implanted.

5906 WCR 18 Longmont, CO 80504

303-833-2167 need to know in advance so we can turn the fax machine on.