BBBC Adoption Application Form

CONTACT INFORMATION
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone*
Please enter a valid phone number.
Email*
example@example.com
I understand an approved application does not give me the right to a certain pup/dog or any dog from Bleu Belle Border Collies. I understand that all possible efforts will be made to acquire the best match for me at the breeder’s discretion. I understand that the breeder has the right to refuse my application for any reason at any time during the process.
Do you understand and agree with the above statement?*

NoYes
Are you 18 years of age or older and able to enter into a legally binding ownership contract?*

NoYes

REFERENCES
Please list three people knowledgeable about your care and love of dogs and who know you well enough to recommend you as a good dog owner. You may include your veterinarian and two other people in the dog community, such as trainers, groomers, dog rescue operators, etc.)
Reference #1
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Reference #2
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Reference #3
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Please verify that you are human*
Should be Empty: