Adoption Application

What dog are you interested in?

First name

Last name

Phone

Street Address

Region/State/Province

Postal / Zip code

City

Please list ages of any children in the house

Please list all animals in your home

Do you own or rent your home?

If you rent do you have the home owner's permission? Please list their contact info

What type of fencing do you have? How tall is it?

How will you exercise your dog?

On average how long will your dog be left alone?

Where will your dog be kept when left alone?

Where will your new dog sleep?

Do you plan on training for anything in particular

Do you have any herding dog experience? If so, please explain:

Reference #1 (Name, Relationship, Phone #)

Reference #2 (Name, Relationship, Phone #)

Reference #3 (Name, Relationship, Phone #)

Your veterinarians contact information:

What behaviors are intolerable?

Please describe your dream dog:

Do you have any additional comments?

Thanks for submitting an application! We'll get back to you soon.