Midwest Border Collie Rescue Adoption Application

Is your property fenced? If so, please list the type and height of your fence. Fence not always required. Fence need is dependent on the dog.*

If not fenced, please describe how you will provide your dog with adequate exercise. (Please be specific)*

What activities or work will the Border Collie have outside of your home, if any?*

Will your dog be living with or have any of these neighbors/visitors or encounter any of these situations on a regular basis? Check all that apply.*

Who will provide the majority of care for the foster dog? *

Where will the dog sleep at night?*

Where will the dog spend its time alone during the day?*

Describe a typical day/week for your foster dog. When will the dog be alone, what would its typical daily activities and schedule be? Note: if you do not have a dog, please note that and describe what you would envision for a typical day or week. *

When your foster dog arrives, how long so you feel they will need before they adjust to their new surroundings?*

How do you feel about using dog crates?*

When you go on vacation, where will the foster dog go and who will care for it?*

What behaviors would you have a hard time dealing with?*

Please list all of your current household pets. (Include Name, Type, Sex, Age, Neutered/Spayed)*

Do any of your current pets have medical conditions?*

How do you exercise your dog?

Are you and your family willing to work with a foster dog on any issues that may develop? *

Yes

Current (or past) veterinarian's name (If you don't have a current vet, please list who you plan to use for your future pet).*

First NameLast Name

Vet's address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Vet's Email*

example@example.com

Vet's phone number*

Please enter a valid phone number.

Do you understand that dogs may be unpredictable and that MWBCR cannot guarantee that a dog we are attempting to rescue may become agressive? *

Yes

Are you willing to accept any risk involved in transporting a dog inside your vehicle?

Yes

Are you willing to foster a dog that is not housebroken? *

Yes

Have you ever been bitten/attacked by a dog? Please explain. *

References
Please list three people who have known you for at least 2 years AND have seen you interact with dogs/animals in some fashion.

We recommend your dog trainer, neighbor, personal friend, co-worker. Please use their most accessible phone number and alert them that we will be calling.

**PLEASE DO NOT USE FAMILY MEMBERS AS REFERENCES**

Failure to meet the above qualifications will result in a delay of your application as we will need to request new ones in order to proceed.

Reference #1 Name *

First NameLast Name

Reference #1 relationship to you*

Reference #1 Home or Cell Phone*

Please enter a valid phone number.

Reference #1 Email*

example@example.com

Reference #2 Name*

First NameLast Name

Reference #2 relationship to you (cannot be a family member. We suggest a dog trainer, neighbor, friend or coworker)*

Reference #2 Phone Number*

Please enter a valid phone number.

Reference # 2 Email*

example@example.com

Reference #3 Name*

First NameLast Name

Reference #3 relationship to you*

Reference #3 Phone Number*

Please enter a valid phone number.

Reference #3 Email*

example@example.com

Have you adopted a dog from us? If yes, let dog's name and year adopted. *

You affirm that all the above information is true and correct. You understand that the submission of this application does not necessarily mean that you will be approved. We reserve the right to reject any applicant.*

Yes

Midwest Border Collie Foster Application