Adoption Application

Adopt a Border Collie

Start Application Process

Please review the Adoption Info webpage and then complete the following application. If an item is not applicable please do not leave blank, enter N/A. Thank you!

Please note, this form cannot save in-progress input. Re-opening the webpage will clear previously provided information. Please complete and submit in one session.

Information collection policy: NCBCRA does not in any way distribute the information provided on this form to any third party, nor do we store it in a database for our use. Our web hosting server sends us a transcribed email of the information, which we save as a PDF file and retain solely for further communications with you.

Applicant's Full Name*

Mailing Address*

Street Address (if different than mailing)

City*

State*

Zipcode*

Home Telephone*

Mobile*

Work Telephone

E-mail Address*

Confirm E-mail Address*

Names and ages of all family members, including yourself, roommates & anyone routinely at your home*

Is everyone in household aware of your adopting a dog?*

Housing Type*

Do you own or rent?*

[group group-718]

Please provide landlord's name, mailing address and phone number for permission verification. Please let them know of your application submission so they understand the purpose of our contacting them.

If renting, do you have the landlord's permission to have a dog?*

Do you authorize NCBCRA to verify permission to have a dog with the landlord?*

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Do you have a fenced yard?*

Describe yard, its size and fencing (type and height)*

Are you familiar with the local ordinances for dog ownership?*

May NCBCRA visit your home by appointment to review for dog safety?*

How many hours a day will the dog be WITHOUT human interaction?*

[group group-265]Please elaborate[/group]

What approximate percentage of time will the dog be outside?*

What provisions will be made for your dog when no one is home during the day?

Can you take your dog to work at all?*

Where will your dog sleep at night?*

Tell us about any other dog(s) at home (name, ages, temperaments, etc.)*

Are all adult dogs in your household altered (i.e., spayed or neutered)*

[group group-altered-explain]If any adult dogs are not altered, please explain why (or type in N/A)?*
[/group]

Please tell us of non-dog pets and livestock with which your border collie will co-exist*

Why do you want to adopt a border collie?*

Have you ever owned a border collie?*

Describe your dog ownership, training, and handling experience*

Have you ever lost a pet (e.g., escaped from an enclosure)?*

[group lost-pet-explain-group]Please explain:*
[/group]

Have you ever had a pet poisoned?*

[group group-pet-poisoned]If a pet was poisoned, please explain why.*
[/group]

Have you had an animal hit by a vehicle?*

How do you transport your dogs?*

[group group-transport clear_on_hide]
Please explain in detail.*
[/group]

Would you allow your dog to ride in the open bed of a truck?*

[group ride-truck-group]Please explain in detail.*
[/group]

Have you ever had a pet die due to disease?*

[group group-304]Please explain in detail.[/group]

What training, activities and regular exercise do you plan for your border collie?*

Under what circumstances would you surrender your dog to a shelter or rescue?*

What plans do you have for your dog(s) should unforeseeable circumstances affect you and your family? (e.g. loss of home, injury, illness, death, etc.)

Please enter a preference for your pet, Male, Female or enter N/A if no preference.*

Please enter a preference for pet markings (Example: color or coat length) or enter N/A if you have no preference.*

Please list the dog's name(s) you are interested in that are listed on our website or enter N/A.*

Have you read the Adoption Info web page and are you aware of the adoption fees?*

If you adopt a dog too young to be altered, do you agree to sign a contract to have it spayed or neutered at the appropriate age?*

Are you prepared to assume the financial responsibilities of caring for an animal including vet care (emergency and routine), licensing, proper shelter and feed?*

Please provide your veterinarian clinic name, address, phone and/or email address (complete information required)*

Is the Border Collie going to be a gift?*

[group group-305]Please explain the circumstances surrounding your gift in detail.[/group]

Is there anything else you would like to add?

How did you first hear of NCBCRA?*

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