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ONLINE DOG APPLICATION

Before you proceed with filling out application, READ THE REQUIREMENTS

* Answers to all questions are required. Form will not submit without all fields being completed.

E-mail Address: *
Name *
Co Owners Name *
Address *
Home Phone *
City *
State *
Zip *
Cell Phone *
Email Address *
Employer *
Work phone *
Co Owner Employer *
Co Owner Work Phone *
Years at Address *
Previous Address (if less than 5 years at above address) *
Own or Rent? *
Pets Permitted if Renting? *
Landlords Name *
Phone *
Your Age *
Number of Children *
Childrens Ages *
Others residing in home *
Do you have a yard? *
Is yard entirely fenced? *
Type of fence/height *
If no fence, how will you confine? *
Owned pet in last 5 years? *
What kind? *
What happened to those pets? *
Were they spay/neutered? *
If not, why? *
Will you keep pet indoors or outdoors? *
How will you confine when away from home? *
How long will you leave alone? *
Care when on vacation *
Will you allow on furniture? *
Will you allow on bed? *
Will you attend obedience classes? *
What would cause you to give up your sheltie? *
Will you provide medical treatment? *
Is cost a factor? *
Veterinarians Name *
Veterinarians Address *
City/State/Zip *
Veterinarians Phone *
Sex Preference *
Color Preference *
Oldest you would consider *
Would you consider special needs? *
Is there a sheltie on our website that you are interested in? If so, who? *
Why do you want a sheltie? *
May we visit your home? *
If not, why? *
How did you find us? *
Anything else youd like us to know? *
I certify that the information I have provided on this form is true and correct *
I am financially able to provide this Sheltie with the proper food and veterinary care, which may be costly *
I understand that any false statements constitute grounds for confiscation/surrender of the sheltie back to PSSR upon demand *
I agree that if the adoption is unsuccessful that I will contact PSSR immediately and return the sheltie to their facility *
Under no circumstance will I place this sheltie with another person, organization, relative or anyone else other than PSSR or their authorized representative *
I further understand that PSSR may demand return of this sheltie for any violation of the terms of the adoption contract *
* Required

Right of Refusal: In determining what is best for our dogs, Precious Secrets Sheltie Rescue reserves the right to refuse any application. The reason for the refusal will not be discussed with the applicant.

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Online Application
Click here to fill out our online application and adopt one of our precious shelties.

Lost Shelties
Click here and help us reunite a lost sheltie with his owner.

Available Shelties
Click here to see the list of our dogs available for adoption.

Shop Online
Click here to see our online products and support PSSR.

Donate to PSSR
Click the button below to make a donation to Precious Secrets Sheltie Rescue.

 
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