Collie Rescue of Greater Illinois Adoption Application

Collie Rescue of Greater Illinois Adoption Application
We require anyone interested in adopting a Collie to fill out this adoption application.

Because of the absolute need for a home visit for all potential Collie adopters and limited resources to execute this task the placement of Collies outside of our service area is handled on a case by case basis and rarely expands beyond bordering states.

Adoption fees are $375 for adult dogs, $475 for puppies under one year, and $175 for dogs eight years and older.

This application process may take several hours to complete. You can Save your in progress application at any time using the Save button at the bottom of each page.
Dog ID
Dog Name

Application Disclosure

This application represents you. Please be as thorough and complete as possible. We check all references to ensure our Collies will be well cared for.
By submitting this application you acknowledge that:*

Every approved application will receive a home visit and inspectionI understand that if CRGI decides you are not a candidate for adoption you will receive no further communication from usI understand that all applications that are not matched with a dog are automatically withdrawn after 90 daysI understand that I will only be contacted if the application is approved or if there are questions on your applicationYou have reviewed the FAQ located at https://collierescue.org/FAQ.aspx

Personal Information
Name*

First NameLast Name
Email*

Confirmation Emailexample@example.com
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Home Phone Number
Please enter a valid phone number.
Work Phone Number
Please enter a valid phone number.
Mobile Phone Number*
Please enter a valid phone number.

Veterinarian Information
Do you have a current or past Veterinarian?*

YesNo
How many Veterinarians have you had in the past 5 years?*
Limit 3

Veterinarian 1 Contact Information
Veterinarian Name*

First NameLast Name
Veterinarian Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Veterinarian Phone Number*
Please enter a valid phone number.
Veterinarian website
Date From

MonthDayYear
Date
Date To

MonthDayYear
Date

Veterinarian 2 Contact Information
Veterinarian Name*

First NameLast Name
Veterinarian Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Veterinarian Phone Number*
Please enter a valid phone number.
Veterinarian website
Date From

MonthDayYear
Date
Date To

MonthDayYear
Date

Veterinarian 3 Contact Information
Veterinarian Name*

First NameLast Name
Veterinarian Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Veterinarian Phone Number*
Please enter a valid phone number.
Veterinarian website
Date From

MonthDayYear
Date
Date To

MonthDayYear
Date

End Section

Would you like information on fostering a dog? We are in desperate need of foster families for our new Collies. Foster's are always given the first option to adopt their dog if there is mutual compatibility.*

YesNoMaybe, I would like to know more
Finishing Up
Any additional comments to help us in our decision?
If you have any additional files you would like to include in your application attach them here.

Pictures, documents, etc
Cancelof
Sign your application*

Clear
Please verify that you are human*
Should be Empty: