First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Email*

Home Phone*

Cell Phone

May we call you at work?

How did you hear about Rocky Mountain Collie and Sheltie Rescue?

The reason I am interested in fostering a Collie or Sheltie is:

Have you ever owned a dog before? *

Have you ever owned or fostered a Collie or Sheltie before?

Do you have any pets now?

- If so, what are they? How old? Are they spayed or neutered?

Do you have any livestock on your property? If so, please indicate type and numbers:

Have you ever been involved in obedience, agility, herding, or other organized dog activities? Do you plan to be?

Have you ever fostered a pet from a shelter or rescue group before?

How many adults live in your home (over 18)?
Choose one: 1 2 3 4 5 6 7 8 9 10 more..

How many children live in your home?
Choose one: 1 2 3 4 5 6 7 8 9 10 more..

Tell us about your family?

Is everyone in your family enthusiastic about adopting/fostering a rescued Collie or Sheltie?

Is anyone in your home allergic to animals?

- If Yes (please explain)

Do you own or rent your home?

- If you rent does your landlord approve of your adopting a Sheltie or Collie? Yes No

- If renting, please provide name/address/phone# of your landlord:

Is your property fenced?

-- If Yes, please describe your fence type and height? (block, chain link, wood)

Can children open your gates?

Can a dog dig under or jump over your fence?

What style of home do you live in?

Do you have a doggie door?

Do you have a doghouse or kennel?

Where will your dog sleep at night?

Will you use a chain, tie-out or cable runner to restrain your dog outside?

How will you exercise your dog?

During the day, where do your dog(s) typically stay?

What brand of dog food do you use?

- Are you satisfied with the quality?

Would you welcome advice about other foods for your Collie or Sheltie?

Who will care for your dog when you travel out of town?

Has any member of your household ever been charged with cruelty to animals?

How would you react if your dog destroyed a household object or soiled in the house?

Do you currently use a veterinarian for your pet health care needs?

Please provide your veterinarian's name and contact information:

I prefer the following breed:

I prefer the following color(s):

I would prefer the following gender:

What age dog would work best for you?

How much energy should your dog have?

I understand that Collies and Shelties require grooming?

I understand that Collies and Shelties can sometimes be barkers?

Would you consider a dog with special needs, such as deafness, blindness, behavior problems, health problems, or old age?

Please tell us a little about yourself so that we can match the right Collie or Sheltie to your home and lifestyle: