Granite State Sheltie Rescue Adoption Application
Name		Date
Address		City
State		Zip
Phone		Email
Why do you wish to adopt a Sheltie?
How many adults are in your family?
How many children and what are their ages?
Do you    own your home   or rent*
*If you rent, we will require written permission from your landlord with name, address, and phone.
Do you have a fenced yard? Yes  No		If not, would you consider fencing an area? Yes  No
Have you ever had a Sheltie before?   Yes   No
Do you have the time and/or patience to housetrain a Sheltie?   Yes   No
Would you be willing to adopt a special needs (blind, deaf, treatable health problem) Sheltie?   Yes   No
Would you be willing to adopt Sheltie with a behavior problem (ie. separation anxiety)?   Yes   No
Would you be willing to adopt an older Sheltie?   Yes   No		If yes, what age?
Please describe below your current dog(s) and any other dog where you were the primary caretaker, ie. breed, gender, altered, still own.
Do you have any other animals?
Where will your rescue Sheltie sleep at night?
Where will your rescue Sheltie stay during the day when you are not home?
Where will your rescue Sheltie stay during the day when you are home?
Are you willing to allow a rescue volunteer to do an in-home inspection prior to adoption?   Yes   No
Please enter below your veterinarians name, address and phone.
Please list the names and phone numbers of two references. These references should have a strong feeling as to how you are or would be as a dog owner.

Submit Application!     

Please submit or print and mail to:
Granite State Sheltie Rescue, 30 Clark Road, Brookfield, NH 03872
Please note, if you are using Netscape as your browser, you may need to print and mail the above application.Thank you.
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