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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.

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

 
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