Adoption Application

Your answers to this application help us find the best possible match between you and an Old English Sheepdog in our care. The more we know, the better we are able to make each adoption successful.

Name*

First NameLast Name

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.

Email*

example@example.com

Work hours*

Occupation*

Occupation of spouse/partner

Referred by

Vet Clinic Name*

Veterinarian*

Veterinarian Address*

Street Address

Street Address Line 2

CityState

Zip Code

Type of dwelling:*

HouseCondoApartmentOther

Do you Rent or Own*

RentOwn

Do you have fencing*

YesNo

If yes, Type, Length, Width, and Height

Is your fence area attached to the house? Does it have a door leading into the house?

If not, are you willing to comply with Rescue's fencing or leash policy?*

YesNo

Comment

Why do you want an Old English Sheepdog*

Have you owned a dog? What kind(s)

What happened to your last pet?

How long did you have this pet?

Do you have other animals? List type, age, sex . Are they neutered/spayed?

Have you ever lost a dog?

YesNo

Had a pet killed or injured?

YesNo

Have you ever rehomed a dog or turned a dog into a rescue?*

YesNo

If Yes, then what were the circumstances?

Do you have children List number and ages.

Please List all Adults living in the Household (Include Name, Relationship, Gender and Age)

Do your kids suffer from any animal-related allergies? Do the adults in the household suffer from any animal related allergies?*

Where will dog be kept during day? at night?*

How many hours will dog have to be alone*

Is someone home during the day*

Are you open to crate training?*

YesNo

What are your work hours, and if there is a commute, how much time is added to the front and back end of your commute?*

Are you willing to take the dog to obedience class, if necessary?*

YesNo

What sex do you prefer?*

MaleFemaleNo Preference

What age do you prefer?*

Under 5Under 10Any age

Are your current dog(s) on heartworm prevention? If so, what brand/product are they on?*

What is your current grooming schedule for your dog?*

What are your grooming plans for your sheepdog?*

In order to adopt an OES from this program, it is necessary for you to have a personal interview with one of our volunteers. The purpose of the interview is to acquaint you with the breed, its problems and in particular, grooming. When would you be available? *

If you are under 18, you must have parent or guardian sign his/her approval. Signature required!

By writing your name here, you state that you are the parent/guardian of the above applicant, and you grant your permission for them to volunteer with Old English Sheepdog Rescue Network of the Southeast.*

Date*

Date

The Old English Sheepdog Rescue Network of the Southeast
Terms of Adoption

1. Fee:   We ask for a minimum donation plus $20 membership in OES Rescue Network of the Southeast. The total is due at the time the adoption takes place. The Rescue dog will have been temperament tested, neutered or spayed, have had all the necessary inoculations a heartworm test, stool test for worms, and medical treatment will be given as needed before the dog is adopted. ($100- $600 based on several factors)

2. AKC Papers: If AKC registration papers are available for the Rescue dog, copies will be given to the new owner.

3. Return Policy:   If for any reason, the adoption is not found to be satisfactory, the OES Rescue Network of the Southeast requires that the dog be returned. The Rescue dog MUST NOT be sold or given away, but returned to Rescue if for any reason the adoption is unsatisfactory for the adopting family. The OES Rescue Network of the Southeast reserves the right to take back any rescue dog that is being neglected or not properly cared for.
4. Release Form:   The adoptive owner must sign a legal release form protecting themselves, the OES Rescue Network of the Southeast and the Rescue dog.

5. License:   The Rescue dog must be licensed in accordance with existing laws in your town, and RABIES vaccine must be kept current.

6. Care: The adopting family agrees to provide adequate shelter, food, all necessary medical and grooming care, and agrees that their Rescue dog will not be allowed to run free or be tied out without proper supervision. Failure to do so will require that the dog be surrendered to Rescue.

We require that you follow a regular inoculation program as established by your veterinarian.   Your dog will need yearly boosters for Distemper, Parvo, Kennel Cough. Rabies booster as required by your state law. Your dog MUST have an annual test for heartworm and your veterinarian will recommend a heartworm preventative program for your dog.

I have read the terms of adoption and understand them and agree to abide by them if I adopt an Old English Sheepdog from the OES Rescue Network of the Southeast.

I have read the Old English Sheepdog Rescue Network of the Southeast Terms of Adoption on the back of this application and am willing to abide by those terms if I adopt an OES.*

I agree

Date*

Date

OES Rescue Network of the Southeast Fiona Bowen /Placement Director

placement@oesrescuenetwork.org

ADOPTION APPLICATION