CASCADE COLLIE RESCUE Adoption Application Pet ownership is a serious responsibility. The policy of Cascade Collie Rescue is to insure that each person who adopts a dog is aware of that responsibility and willing and able to accept that responsibility. A collie might not be the best choice of pet for everyone. The following questionnaire has been designed to aid both you and us in determining if you (and your family) are adequately prepared to assume the type of responsible pet ownership that we are endeavoring to provide for our adoptive dogs and that a collie is the right choice for you. 

Name:________________________________________ _____________________Date: ________________________ Address:__________________________________________City:__________________________Zip: _____________ 

Phone: _____________________ Best time to call________ Email Address: __________________________________ 

Number of Children*: ____________ Ages: ______________ *include grandchildren or other children under the age of 18 visiting your home regularly. 

How long at current address? ______________ Own or Rent? __________ Home/Apt/Condo: __________ (If renting we require permission for pets from your landlord) Where will the dog be primarily kept?  

        Explain: _______________________________________ 

When outside, what type of shelter will you provide? _______________________________________________________ 

Do you have a fenced yard? ___________ Describe___________________ Do you have a kennel? ______________ 

Where will the dog sleep? ____________________ How many hours a day will the dog be left alone? _______________ 

Have your previously owned a dog? ___________ If yes, what happened to the dog? ______________________________ 

What animals do you own now? List breeds, size, sex, age, altered, etc: _________________________________________ ___________________________________________________________________________________________________ 

What is the name of your Veterinarian? __________________________ May we contact him/her for a reference? _____ 

Will you take your new dog to obedience class if we recommend it?_________ What is the primary reason you want a collie and what sex, age, color, and variety (rough or smooth) would you prefer? ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ Will you agree to a “home check” by a CCR volunteer? _______ 

If you have contacted a CCR volunteer already, please tell us who: ___________________________________________ 

How did you find out about our rescue?__________________________________________________________________ 

Any other comments or concerns or questions? Please mail this application to Linda Arnett at P.O. Box 908, Estacada OR, 97023