Return Application Or Email Us for Our Fax Number

Return Application or email us for our fax number!!

RUFF MUTT BORDER COLLIE RESCUE

Adoption Application

Please fill out the following adoption application in its entirety to the best of your ability. Elaborate where necessary and feel free to go into as much detail as you wish. We will NOT review applications with unanswered questions so please complete the application fully if you wish to be considered!

Please note...
Our goal is to place our dogs in the best, most appropriate homes. You may be convinced that your home is the best and most appropriate, but the decision is still ours to make. Since we live with these dogs in our homes, we have a good understanding of their needs and personalities and what type of home would work best for them. If you are not selected to adopt a certain dog, it likely has nothing to do with whether or not we think you could provide a good home for a dog in general. It may simply be that we did not believe that your home, family and/or lifestyle were the best fit for the particular dog that you applied for.

Thank you for your interest in a rescue dog! We will get back with you shortly regarding your application!

How did you hear about Ruff Mutt Border Collie Rescue?

What dog(s) are you interested in and why?

Applicant(s) Name(s):

Date of Birth:

E-mail Address:

Phone Numbers: (H) (W) (C)

Occupation:

Street Address:

City, State, Zip Code:

Names, ages and relationships of all other household members:

Are all household members in favor of this adoption? ---YesNo

Does anyone in the household have allergies or asthma that could be aggravated by the addition of a dog?---YesNo

Why do you want to adopt a border collie (be specific)?

Do you know that border collies can be very active dogs and may very well need significantly more exercise than an average pet dog?

Have you ever owned a border collie before?

If so, where is this dog(s) now?

What type of dwelling do you live in? ---HouseApartmentCondoDuplexTownhouseOther

If other, please describe:

If house, square footage of house:

Do you rent or own?---RentOwn

How long have you lived there?

If you rent, are dogs permitted by your landlord? ---YesNo

If yes, please include your landlord's name and phone number:

Do you have a fenced in yard?---YesNo

If yes, how tall is the fence?

What type of fence?

How large is the fenced in area?

Do you have a pool?---YesNo

If yes, is it separated from the main yard by a fence of some type?---YesNo

Are there unusual sounds near your home (firehouse, train, school bus stops, gun range, airport, etc)? ---YesNo

If yes, what types of sounds?

Have you ever had to relinquish or surrender an animal in the past? ---YesNo

If yes, please explain the circumstances surrounding your decision:

Please list all animals living with you (include small caged animals as well as livestock) and include the following: Pet's Name, Species, Age, Gender, Spayed/Neutered, Last Vaccines, whether the pet is up to date on Heartworm preventative and how long owned:

Please list all animals that have lived with you in the past 5 years and are no longer in your care. Include the reason that they are no longer with you:

Are your current pets up to date on vaccinations?---YesNoNo pets, but am aware of vaccination needs.Need more information on vaccination requirements.

If no, why not?

Spayed and/or neutered?---YesNo

If no, why not?

Current on heartworm preventative?---YesNoNo pets, but am aware of Heartworms/PreventativeI am not aware of Heartworms, please inform.

If no, why not?

What will your border collie need to get along with (small animals, children, women, men, loud noises, birds, cats, livestock, high activity, etc)? Please be as specific as possible!

What do you want to do with your border collie (agility, herding, obedience, tracking, search and rescue, house pet, rally, flyball, frisbee, assistance dog)?

Is anyone home during the daytime?

If not, how long will this dog be left alone?

Where will this dog be kept while home alone?

Where will this dog be kept when the family is home?

Where will this dog sleep?

On a scale of 1 to 5, with 5 being the most important, how important is it to you that your newly adopted dog is completely housetrained? ---12345

How will you confine and exercise this dog?

If you move, what will happen to this dog?

What attracts you to the breed?

Describe the ideal BC or BC mix (be specific in regard to temperament, activity level, age, gender, color, coat type, mix, etc):

Are you willing to buy and use a crate if recommended?

Do you plan to enroll your new dog in any sort of obedience classes or other formal training? ---YesNo

If yes, what type of training?

Would you allow a home visit?---YesNo

Are you willing to send pictures of your home? ---YesNo

Do you understand that rescued border collies might have a history of behavioral problems common to the breed or related to its previous ownerships? We will do our best to disclose any behavioral problems that we are aware of:

If there is any additional information you feel is pertinent, please include it here:

Are you willing to contribute an adoption donation of$200-250 for a dog over 12 months old and/or $300-350 for a puppy under 12 months old (donation will depend on the costs we incurred for the dog you are interested in and are listed on each dog’s individual listing)?---YesNo

Please list two personal references that are NOT related to you and their telephone numbers:

Veterinarian's Name:

Address:

City, State, Zip Code:

Phone:

Adopter’s Statement of Commitment

By submitting this application I am attesting to the truthfulness of my answers and understand that falsification of any information given to Ruff Mutt Border Collie Rescue via this application or any other medium will be grounds to disallow the adoption of any dog from Ruff Mutt Border Collie Rescue. I understand that a vet reference, home visit and photos of my home may be required for adoption. I understand that Ruff Mutt Border Collie Rescue dogs are spayed or neutered prior to adoption. I agree that this dog will reside in my home and will never be chained, tethered or allowed to run loose. I agree to provide the dog with food, water, shelter, vet care, training and adequate affection and attention.I understand that if I am ever required to relinquish possession of the dog that the dog must be returned to Debbie Schwagerman or another member of Ruff Mutt Border Collie Rescue.

Your Initials Here:

Date:

Email Address (so we can contact you!):

Rescue’s Statement of Commitment

Adoption donations are $200 for dogs over 6 months old and $250 for dogs 6 months old or under and are non-refundable. The adoption donation covers all necessary care, transportation, shelter fees, and supplies, including spay/neuter, heartworm check and/or treatment, age-appropriate vaccinations, kennel cough vaccinations, rabies vaccination for dogs over 4 months old, heartworm preventative, flea/tick preventative, a microchip and worming. All dogs are in good health and up to date on veterinary care at the time they leave our care; therefore, the health of a dog adopted from Ruff Mutt Border Collie Rescue cannot be guaranteed after it is out of our possession.

Ruff Mutt Border Collie Rescue reserves the right to refuse any applicant for any reason without explanation.

We will contact you shortly regarding your application!