Middle Tennessee Sheltie Rescue
Adoption Application
                                                   

E-mail this application to: sheltieresque@comcast.net
 OR print this application, fill out, then snail mail to: 
Middle Tennessee Sheltie Rescue    1179 Barnes Road • Antioch • TN • 37013
Please note that we have the right to refuse any applicant.    

  _______________________________________

 

Middle Tennessee Sheltie Rescue 
Adoption Application

 

Name:

Address:

City / State / Zip

Phones:  Home (     )                                                 

Work: (    ) 

E-mail address:                                           Do you check e-mail every day?     Y / N

Employer:

Hours you are at work?                               May we call you at work? Y / N

Have you placed an application with any other rescue group ? 

Why do you want a Sheltie?

 

How many pets have you owned in the last 10 years?

When?                                      

What happened to each of them?

 

What role will this animal have? (ie..pet, watchdog, breeding)

Do you currently have any other animals?

Please list: type, age and sex and if they are spayed or neutered….

 

Do you currently have a Veterinarian?   

Name, address and phone number of your Veterinarian:

 

Please choose one:  
_____ My vet may be used as a reference in considering this application
_____ My vet MAY NOT be used as a reference in considering this application

 

Who lives in your home? (ie..Mom-Dad-2 kids)

Do you have children living in your home (even part-time)?

Please list ages of children:

 

Do you live in a: (circle one)   House Apartment Condo  Other

Do you own or rent?

If renting, does the landlord allow pets?

Do you have a yard for the dog to use?

Is it fenced?          If not, how will the dog be exercised?

 

Do all adults in the house work?                    

Is anyone home during the day?

If so, who, and what hours are they home?

Where will this dog stay during the day, while you are at work?

 

Do you intend to keep this dog primarily indoors or outdoors?

Where will the dog sleep?

Do you have the time and or patience to housetrain a dog, if it is not already trained?

 

Would you be willing to take a "special needs" (blind, deaf, sick)  dog?

Would you be willing to work with a "behavior problem" dog?

Would you be willing to take a much older, more needy dog?

Would you be willing to take a Sheltie Mix?

Have you ever owned a Sheltie before?

 

Are you aware of all a Shelties needs? (i.e. grooming, exercise)

Are you aware that Shelties are "barkers"?

Are you aware that Shelties may be somewhat shy around new people,
and may take awhile to bond with?

 

Do you have a color preference?

Do you have a sex preference ?

Do you have an age preference?

Do you have a size preference?

 

Are you aware of the financial responsibilities of dog ownership…. Including vet care,
medications, food, licensing, shots, grooming…etc?

Would this dog be a priority in your life? 

What circumstances, in your opinion, would justify you getting rid of this dog?

 

Are you aware of our organization's adoption fees ? 

 

All of the answers I have given, are true and correct to the best of my knowledge.                    

                                     

Date_________________     Signature of applicant__________________________

 

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