Border Collie Rescue Ontario

Adoption Application

Please fill out the adoption form below and click "Submit" when you are finished. A BCRO representative will review your application and contact you to discuss finding the right dog for you. Although our application is long it is important to give us as much information as possible to help make a suitable match for both dog and adopters.

Thanks

Please follow link and email application directly to adoption@bordercollierescueont.com

AdoptionForm

ONLINE APPLICATION

PLEASE NOTE: If you have high security on your computer your application may not submit via the website.

Today's Date

Name
Address
City/Province     Postal Code

Home phone number
Fax number (if applicable)
Work number (if applicable)
Cell number (if applicable)

At what hours can you be reached at the above numbers?

Email address
Occupation
Age

How did you hear about Border Collie Rescue Ontario?

1. Your family and neighbours

Are there other adults in your household?
     Yes No

If so, briefly give their names, ages, occupations, and relation to you:

Do they agree with your decision to get a dog?
     Yes No

If not, what reason do they have for not wanting a dog now?

Are there children in your household?
     Yes No

If so, how many and what ages are they?

If not, are you planning to have children in the next few years?
     Yes No

Will they be responsible for caring for this dog?
     Yes No

Are there a lot of children in the neighborhood?
     Yes No

Are you frequently visited by children?
     Yes No

If yes, do any of them have access to your
yard/kennel/house when you are not at home?
     Yes No

If yes, explain, taking care to indicate how you intend to prevent them from teasing a dog, letting a dog out either intentionally or by accident, or doing any other thing that might be detrimental to the welfare of a dog in your care.

Is anyone in your household allergic to animals?
     Yes No

Is anyone in your household afraid of dogs?
     Yes No

Is anyone in your household elderly or frail?
     Yes No

Do you have close neighbors who might be
affected adversely by a barking dog?
     Yes No

2. Your experience with dogs

Why have you decided at this point to get a dog?

Why have you decided on a Border Collie?

Have you ever had a dog before?
     Yes No

If yes, what happened to this dog?

Have you ever had a Border Collie before?
     Yes No

If yes, what happened to this dog?

If no, have you done research on this breed?
     Yes No

Do you understand the special needs of this breed?
     Yes No

Briefly explain what you understand to be the needs of this breed.

Do you have a dog now?
     Yes No

If yes, how many dogs do you currently own?

For each dog you currently own, please answer the following questions:

    What breed is it?
    Is it a male or female?
    How old is it?
    What sort of temperament does it have, especially with regard to other dogs?
    Is it spayed or neutered?
    Is it current on all it's vaccinations and on heartworm preventative?
    Is it licensed in your town?

Have you ever adopted an animal from a shelter or rescue group before?
     Yes No

If yes, give the name and address of the shelter or rescue group as a reference.

Have you ever surrendered an animal to a shelter or rescue group?
     Yes No

If yes, describe the circumstances.

Have you ever been bitten or attacked by a dog?
     Yes No

If yes, explain the circumstances:

Are you comfortable approaching dogs that you do not know?
     Yes No

Please explain.

If behaviour problems arose in your dog, how would you deal with them?

Are you familiar with the animal regulations in your area?
     Yes No

Do you know the requirements for
obtaining a dog license in your town?

     Yes No

Please list three people who are knowledgeable about your care of dogs. Please include your vet as one of them, and two other people in the dog community (for example, a trainer, a groomer, a rescue person, or someone who has had dogs all their life and knows you well). You may include a shelter or rescue person that you once adopted a dog from, if you listed one above. List their names, email addresses or phone numbers, their relationship to dogs, and their relationship to you.

3. Your preferences for a dog

Age
Sex
Would you consider an older dog (4 years or older)?
     Yes No

Would you consider a cross?
     Yes No

Would you consider a dog that has a physical problem
(for example, hip dysplasia, epilepsy, etc.) that might
be controlled or cured with the use of drugs, or surgery?
     Yes No

Would you consider a dog that has an emotional problem
(for example, separation anxiety, fear aggression, etc.)
that might be controlled or cured with training,
behavior modification, or the use of drugs?
     Yes No

After researching the breed, are there any traits
in the breed that you would prefer to avoid?
     Yes No

If yes, explain.

Would you consider more than one dog?
     Yes No

Are you looking for a working/herding dog?
     Yes No

Companion?
     Yes No

A dog for a formal sport or competition
(such as obedience, agility, flyball)?
     Yes No

Is there a particular dog on our website that currently interests you? If so, which one is it?

4. Your Environment

Describe your neighbourhood.
     Rural
     Suburban
     Urban

Which of the following do you live in?
     an apartment
     a condo
     a mobile home
     a single-family house
     on a farm
     in military housing

Do you own or rent your property?
     Own Rent

If you rent, do you have permission from
your landlord to have pets on the property?
     Yes No

Do you live in a development or other area
where there are a lot of houses nearby?
     Yes No

Do you have neighbours nearby,
or do you share a house with other families?
     Yes No

If yes, are they aware that you intend to adopt a dog?
     Yes No

Are there any restrictions as to the number of dogs
and/or combination of dogs and cats that
you may have at your residence?
     Yes No

How large is your property?

Do you have livestock?
     Yes No

If so, what kind and how many?

Other than dogs or livestock, are there other animals in the house?
     Yes No

If so, how many and what kind? Is there a busy road nearby?

Do you have a fenced yard or outdoor kennel?
     Yes No

What type of fence is it? How large is the area it encloses? How high is the fence?

Are you opposed to having someone
come to your house for a home visit?
     Yes No

5. Your lifestyle with regards to a dog

Are you willing to travel a distance to meet a dog?
Yes No

If so, how far?

Is there someone home during the day most days?      Yes No

If not, how many hours will the dog be alone most days?

Will the dog live in the house with the family?
     Yes No

If not, where will it be kept during the day? At night?

When you go away during the day, where will the dog be left?

If you go away for an extended period (overnight or longer), where will the dog be left?

Will the dog be allowed to run loose at any time?
     Yes No

Will you have your dog on a run, or trolley, or tied out at any time?
     Yes No

If yes, please explain when and for how long.

Are you planning to enroll your dog in an obedience/training class?
     Yes No

If not, how do you intend to train this dog?

If you intend to train the dog yourself, please give a detailed description of your previous experiences training dogs.

How much are you willing to spend on vet care for a dog each year?
What do you see as the normal vet care requirements of a dog?

How do you intend to exercise this dog?

Please add any information about yourself that you think would be useful in helping us select the right dog for you.

I attest to the truthfulness of my answers. I understand that falsification or fabrication of answers will be grounds to disallow an adoption of a Border Collie from Border Collie Rescue Ontario. I understand that BCRO has the right to refuse any applicant. Please enter your name in the field below as your signature:

Signed

NOTE: When you click "Submit", a window may appear notifying you that
this form is being sent via email. Click "Ok" to send this document.