Please remember that adopting an animal is a SERIOUS commitment. Animals may take several weeks to months to settle into their new environment. They cost money and require lots of attention and love. Please seriously consider your decision to adopt. We highly suggest that you research what is best for you and plan to participate in a training course, so that the adoption experience is a positive and lasting one for you and your new animal companion.

It is Collie Rescue, Inc.'s responsibility to place the animals that we rescue into an environment compatible with their needs, and to ensure that their adoption is in the best interest of both the adopter and the animal. As such, please answer all questions carefully and completely. A volunteer will contact you within 4 business days of receiving your submission. Thank You!

*First Name:
*Last Name:
*Address:
*City:
*State:
*Zip:
*E-mail:
*Home Phone:
Cell Phone:
Work Phone:
Employer:

Please leave this field empty:
Name of Dog(s) of Interest:
(if applicable)
* What role would you like your new collie to play in your life?
(select as many as apply)
Companion for Self
Companion for Child
Companion for Pet
Obedience/Agility/Herding
Therapy
Farm Dog
Other
If "Other", please describe:
*Select Your Residence:   *Own   Rent
*Describe Your Yard:
Landlord's Name/Phone:
(if applicable)

Please List All People Living in Your Home:
(including yourself)
Name Relationship To You Age
*Describe Your Daily Schedule:
*Do You Prefer: Male    Female   No Preference
*Traits You Prefer:
(Energy Level/Training/etc.)
*Behaviors That Will Concern You:
Please List All Animals Living in Your Home:
Name Breed Age Gender
*Have You Had Pets Before?
Please tell us what you've had and where they are now:
*Name & Phone of Veterinarian
you currently use, used previously, or plan to use:

Please list two references that we may contact
about your animal care experience and dedication:

*1.  
  2.  
Additional Info that will help us find the right pet for you:
*How did you find out about us?:
*I certify:
  • I have read the Adoption Guidelines.
  • The information that I provided in this questionnaire is correct to the best of my knowledge.
  • All members of my household have never been charged with cruelty to animals.