COLLIE CLUB OF AUSTIN

E-mail Collie Rescue Austin

RESCUE ADOPTION APPLICATION

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AKC Collie Breed Standard Is a Collie the Right Dog for You?

Please type in your First & Last Name:	*This field is required for processing the form.
Please type in your E-mail Address:	*This field is required for processing the form.

Applicant's Name:  Applicant's Address:
City          State      Zip
Home Phone#   Occupation:  E-mail Address:	Work Phone#
Why do you want a Collie? I want a Collie because--	Have you ever owned a Collie?  Yes   No
Have you ever owned a Dog?  Yes   No If Yes, was it Spay/Neutered?  Yes   No	If your dog was not Spay/Neutered explain why: I did not have my dog Spay/Neutered because:
What happened to your last dog?	My last dog--
Do you currently have any pets?  Yes   No Are your current pets spay/neutered?  Yes No If no, explain why: My current pets are not spay/neutered because--	What current pets do you have?  Dogs          How many   Cats            How many   Livestock    How many   Other       Explain:
Name of your Veterinarian: Vet Clinic Address: Vet Clinic Phone#: Could you provide us a letter of Recommendation from your Veterinarian?	Yes   No   Maybe
Do you have any children?  Yes   No What are their ages?	Are you aware that sometimes Collies try to herd children and/or other pets?  Yes   No
Where do you live? Single-Family Home Apartment Condo with yard Home with acreage	How is your property fenced? Chain Link Privacy Livestock Mesh Split rail Electric fence Invisible fence Not fenced
Do you want your Collie to live: Primarily Indoors   Primarily Outdoors	Rough collies because of their heavy coats do not tolerate/prefer heat well. Can you provide an air-conditioned place for your collie during the hot summer?  Yes   No
What sort of protection from the weather is available to your collie on your property?  Doghouse Tree shaded Covered Porch Other  Specify	How many hours a day will your Collie have to spend alone on average:  What provisions will be made for your Collie if no one is home during the day? Run of the House Crated inside Outside in fenced yard Doggy Door & inside/outside
Smooth Collies have short coats but the same temperament and markings as a Rough Collie. Smooth Collies are easier to groom and keep free of fleas and ticks. Would you consider a Smooth Collie?  Yes   No Would you consider a Collie Mix?  Yes   No	Which sex do you prefer?  Male   Female   No Preference What age dog would work best for you? Under a year Adult dog-- 2-7 years. No preference We seldom have available 8 week to 4 month old puppies. Would you be willing to give an older (8 + years), less active but just as loving dog a home?  Yes   No How old is too old?
How energetic would you like your dog to be?  Low energy/laid back/couch potato  Medium energy/enjoys a daily walk/enjoys daily game of fetch  High energy/enjoys herding, agility, etc./ enjoy a daily jog  Not sure	Do you plan on taking your collie to: Obedience training Herding training Agility training Carting training. Service Dog training Therapy Dog training No formal training
How much grooming do you expect to do? None-occassional bath A Little-semi-weekly brushing Moderate-weekly brushing A Lot-brushing 2 -3 times a week, occassional trimming	Is there anything else we should know to help match the right Collie to you? This is what I'm looking for... My lifestyle is....
Would you mind a visit from a Collie Rescue Austin Representative?  Yes    No	If your life circumstances change what would you do with your pet and why?

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FAX (512) 515-5719