A 501(c)(3) Non-Profit Organization

Serving Oregon and Southwest Washington
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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.
Email Address
City, State, Zip
Phone Number
Best Time to Call
Number of children in your home or who visits regularly
How long have you been at your current residence?
Do you own or rent your home?
Type of residence:
When outside, what type of shelter will you provide?
Do you have a fenced yard?
Do you have a kennel?
How many hours a day would the adopted dog be left alone?
Where will the dog sleep?
Have you previously owned a dog?
If yes, what happened to that dog?
What animals do you currently own?

Type (dog, cat, bird, etc.)

Breed: Size Age Gender Altered Other Info?
Current Pet 1:

Current Pet 2:

Current Pet 3:

Current Pet 4:

What is the name and phone number of your veterinarian? Name:


May we contact him/her for a reference?
Will you take your new dog to obedience training if we recommend it?
What is the primary reason you want a Collie?
What is your preference:
Age Gender Color Coat Type
No Preference

Puppy (up to 6 months)

Young (6 mo. to 2 years)



No Preference



No Preference



Blue Merle


No Preference

Rough Coat

Smooth Coat

Will you agree to a "home check" by a CCR volunteer?
How did you find out about our rescue?
Any other comments or questions?