Home
Border Collies
Adopt a Dog
    Border Collies  
    Apply for Adoption  
How You Can Help
    Volunteer  
    Donate
Applications
    Foster Home
Can't Keep Your Border Collie? We can help!
AZBCR Information
    About Us  
    Contact Us
    Events
Resources
    Articles and Information

  
    Rescue Success Stories & Updates

  
    Rescue
Achievements
    Recommended
Products
    Read about the Rainbow Bridge
     

Adoption Application for Sam


 
All the Good News

 
 
About the Caregiver
First Name:
Last Name:

Spouse:
Significant Other:
Address 1:
Address 2:
Cross Streets:
City:
State:
Zip Code:
 - 
Home Phone: - -
Work Phone: - -
Cell Phone: - -
Best Number:
Email Address:
Where Do You Live?
Do You
Do you have... Children under 8
Dogs
Cats
List first names and ages of all household members: Maximum number of characters for this text box is 200.

0 characters entered. | 200 characters remaining.
List other regular visitors to the home: Maximum number of characters for this text box is 200.

0 characters entered. | 200 characters remaining.
How did you hear about the Arizona Border Collie Rescue
Daily Work Hours :
Your Hobbies and Activities: Maximum Number of characters for this text box is 200.

0 characters entered. | 200 characters remaining.

Previous Border Collie Experience?

 Maximum Number of characters for this text box is 300.

0 characters entered. | 300 characters remaining.
Why do you want a Border Collie, as opposed to any other breed? Maximum Number of characters for this text box is 300.

0 characters entered. | 300 characters remaining.
Preferred Gender:
Preferred Age:
Expectation of Dog: (check all that apply) Companionship
Protection
Herding
Sports
Unknown
Type of Border Collie: (check all that apply) Low-Energy
Walking or running buddy
Active and likes to play
High-drive sports potential
Don't know
Adopt Special Needs?
If you are interested in any other rescues besides Sam, please select:
To select more than one, hold the ctrl key and click
Describe the Dog's House

 

Describe Dog's Living Quarters

 Maximum Number of characters for this text box is 300.

0 characters entered. | 300 characters remaining.
Would you use a crate if suggested?
Approx. Size of Yard:
Type of Fencing:
Fence Height:
% of Yard Fenced:
Pool:
Dog Door:
Dog Run:
Existing and Previous Pets

 

List types and ages of all household pets: Maximum Number of characters for this text box is 100.

0 characters entered. | 100 characters remaining.

List any Livestock:

Maximum Number of characters for this text box is 200.

0 characters entered. | 200 characters remaining.
Please provide your vet's clinic, name, city and phone: Vet Clinic:
Vet Name:
Vet City:
Vet Phone: - -
May we contact for a reference?

Describe Previous Pets

 Maximum Number of characters for this text box is 100.

0 characters entered. | 100 characters remaining.

If you have ever found it necessary to rehome a dog, please explain the reason and how you accomplished the rehoming.

 Maximum Number of characters for this text box is 200.

0 characters entered. | 200 characters remaining.
Interacting With Your Dog

 

How many years have you been involved with dogs?

What work or activities do you plan to pursue with your Border Collie?

 Maximum Number of characters for this text box is 300.

0 characters entered. | 300 characters remaining.

What training experience do you have? Would you be willing to attend training, if needed?

 Maximum Number of characters for this text box is 100.

0 characters entered. | 100 characters remaining.
Where will you primarily keep your dog when you are at home? Maximum Number of characters for this text box is 50.

0 characters entered. | 50 characters remaining.
Where will you primarily keep your dog when you are away at work? Maximum Number of characters for this text box is 100.

0 characters entered. | 100 characters remaining.

Where will the dog sleep at night?

 Maximum Number of characters for this text box is 50.

0 characters entered. | 50 characters remaining.
Where will you primarily keep your dog when you are out of town? Maximum Number of characters for this text box is 100.

0 characters entered. | 100 characters remaining.
Security Code: Enter the code exactly as you see it in the image.
(Cookies must be enabled)
Code Image - Please contact webmaster if you have problems seeing this image code Load New Code
   
By Submitting this Application, I agree to the terms and conditions below
Terms of Adoption
The following agreement specifies what we feel is required to provide a safe and loving home for a dog. Please understand that the details of the contract reflect our concern that both owner and dog have a happy life together. The conditions set forth are based on years of experience and a continuing commitment to see that our rescue dogs find safe and happy permanent homes. We hope that you will understand that considerable emotional involvement, time and energy go into insuring that our rescue dogs have the best possible second chance at life.

If I am successful in the adoption of a dog through Arizona Border Collie Rescue (ABCR) I herein promise and agree to the following conditions.

  1. To keep this dog in my personal possession, provide proper and sufficient food, water, shelter, grooming and humane treatment at all times.
  2. If this dog has not already been spayed or neutered at the time of adoption, I AGREE TO HAVE HIM OR HER SPAYED OR NEUTERED AT MY EXPENSE within thirty days or when age appropriate. Proof of spaying or neutering will be provided in writing to Arizona Border Collie Rescue within ten days of surgery. I will not allow this dog to breed or be bred under any circumstances.
  3. To procure veterinary care at once if it becomes sick or injured and to keep current all vaccinations against rabies, distemper, parvo, and corona viruses.
  4. To provide him or her with an ID tag secured to a buckle collar (never with a choke collar) which will be worn at all times. In addition, ABCR recommends micro-chipping as a means of permanent identification.
  5. To obey any and all animal control regulations governing the area in which I live, and to license this dog according to such regulations within one month of adoption.
  6. Not to sell, trade, transfer ownership, abandon, or dispose of this dog in any way, but to notify ABCR if I must relinquish custody of the dog. This includes release to family members.
  7. To allow an ABCR representative to examine the dog and its living conditions and to surrender it to said representative for return to the organization if the conditions are found unsatisfactory.
  8. To assume full responsibility for this dog's actions, and for any damage done by this dog.
  9. To exercise him/her in a safe environment and to never allow him/her to run loose without proper adult supervision.
  10. I agree never to allow him/her to be transported in the open bed of a pickup truck or similar vehicle.
  11. I agree to an adoption fee of $200.

Arizona Border Collie Rescue Disclaimer

I fully understand that Arizona Border Collie Rescue cannot and does not make any representations or warranties, either expressed or implied, concerning the temperament, health, habits or background of this pet and that future reactions to me, my family, my pets and other persons and animals are completely unpredictable. Therefore, and in consideration of receiving this dog, I hereby release Arizona Border Collie Rescue from all claims of injury or damage, which this dog may cause me or my property. And I further agree to hold harmless Arizona Border Collie rescue from any and all claims of liability to other persons for injuries or damage caused them by this dog while it is in my care or custody. My selection of this dog has been based upon my own observation of the actions and temperament, and I have selected this dog solely upon my own judgement.

 

 
© 2004 Arizona Border Collie Rescue. All Rights Reserved