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Home Page
Available
Adoption Application - Online
Application Download
Previous Adoptions
Calendar of Events
Rainbow Bridge
Why Adopt a Rescue
Volunteer
Contact List
Links
Guest Book
Members

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* - Required Field

Northern Chesapeake Sheltie Rescue
Adoption Application

Name: *

Date: *

Address: *

City: *

State: *

Zip Code: *

Home Phone: *

Cell Phone:

Email Address: *

Which Sheltie are you interested in:

Why do you want a Sheltie: *

How many dogs have you owned:

When:

Do you still have them?

If not, what happen to them:

What role will this Sheltie have? (i.e. Pet, Watchdog, etc):

Do you have a Veterinarian:

Yes No

Name:

Phone:

Names & ages of everyone in the home:

Type of home:

House Apartment Mobile Home Townhouse Condo

Do you Rent or Own:

Rent Own

If renting, does the landlord allow pets:

Yes No

Do you have a fully enclosed fenced yard: (We do not accept nor approve the use of electronic fences)

Yes No

If no, how will the dog be exercised:

Do all adults in the house work:

Yes No

Do you have a pool:

Yes No

If yes, is it separately fenced:

Yes No

Is someone home during the day:

Yes No

What will you do with your dog during the day while you are at work:

Where will you keep your dog?

Inside Outside

Where will the dog sleep:

Have you ever owned a Sheltie:

Yes No

Are you aware of their grooming needs and that some of them are barkers:

Yes No

Do you have a color preference:

Color:

Sex preference:

Male Female Doesn't Matter

Are you willing to take an older dog:

Yes No

If yes, up to what age:

Are you willing to take a Sheltie mix:

Yes No

Are you interested in information about becoming a foster home:

Yes No

Have you reviewed your information?*

Yes

Adoption Fee: $350.00 Senior: $250.00 Puppies: $450.00

We are a 501c(3) non-profit organization. Donations are badly needed and greatly appreciated. Every penny goes to pay for medical/dental care and and special needs to return these shelties to a healthy and happy life. All donations are tax deductible and secure through PayPal.. PayPal - The safer, easier way to pay online!

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