c/o THOM LEWIS
508 Nauvoo Road
Lewisberry, PA 17339
PLEASE PRINT NEATLY
Name and Address
Home Phone:Work Phone:
|1. Own your own home||4. Veterinary recommendation|
|2. Valid ID with current address||5. Dog must be kept as an indoor dog|
|3. Dog must be spayed or neutered||6. Must sign contract agreeing to conditions Collie Rescue sets|
Are you married?
Do you have children?Ages?
Have you ever owned a dog before and what happened to it?
Name and Address of Vet:
Name and address of employer:
Where will you keep the dog while you are at work?
Does your job require you to move around?
What would you do with the dog if you moved?
How long have you lived at your current address?
Have you ever been charged with a crime related to animal abuse?
Is your yard fenced in?
Have you ever owned a collie before?
Have you ever obedience trained a dog?
What kind of collie are you interested in? (male or female, sable or tri, age, etc.)
On the back of this questionnaire, briefly describe why you want a collie from Collie Rescue