EmailMe Form - Border Collie Trust GB Application To Adopt

Your details

Title - Mr/Mrs/Ms/Miss etc *

Name *

First Last

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Home Phone

Mobile Phone

Email *

Email - please repeat to ensure accuracy *

Your age *

Your occupation *

Partners occupation if applicable

Are you planning a holiday or event in the next six months where you will be away from home more than one day? *

Yes, please complete dates in box below

No

This will not preclude you from adoption. It will just help us better discuss dogs you may be interested in

Holiday Dates

Are you planning or experiencing any of the following in the next 3 to 6 months *

A baby

House move

Change of employment or hours

House renovations/decorating

Building work in our immediate area

None

Selection of any of the options will not preclude you from adoption. It will just help us better discuss dogs you may be interested in

Which DOG or DOGS (not your name) are you particularly interested in adopting? If you have no particular preference please leave blank BUT ensure you complete all questions relating to the sort of dog you are hoping to adopt.

Further questions about your circumstances

Have you or any member of your family ever been banned from keeping an animal? *

In the event of a YES answer, we will call you to discuss

Please indicate the total number and AGES of adults (over 18 years) and total number and AGES of children in the home and also for children who visit regularly. *

Are any children in the home or that visit used to dogs? *

Have you kept a rescue dog before? *

Have you ever had to have a pet rehomed? *

If Yes, please outline the circumstances

Please include details of all other pets within the home. If you have another dog or dogs please indicate its sex and if neutered or not. *

Please complete as fully as possibly. If you have no other pets just enter None

What sex of collie or collie cross are you hoping to adopt? *

Age range you will consider *

Up to 1 year old

2 to 5 years old

6 years plus

Please select all that apply

What behaviours are important to you with a dog? *

Good with people

Mixes well with other dogs

Housetrained (settling in period required)

Good with children

Good when left (settling in period required)

Other, add below

Please select all that apply

Other behaviours or characteristics that are important to you

And now questions about your home

Do you live in a..... *

If other please explain

Please outline your home situation

Do you live in .... *

Do you have a ..... *

Is the property rented? *

File Upload

Please attach copy of Landlords permission. Must show landlords or agents full details. Without the correct permission attached, your application cannot be considered.

Do you consider your home to be .... *

Overall, how long will the dog be left for? *

Explain further please

If the dog will be left on a regular basis, will the dog be visited during that time? *

If yes, please outline when and by who

If and when left. Where will the dog be left during the day? *

Where will the dog sleep at night? *

Is there anything specific you require from a new dog?

What activities do you anticipate doing with a collie?

Training and Behaviour

These are just general questions, we are not looking for right or wrong answers but merely to see what areas, if any, we need to discuss in greater detail with you. If you are unsure or don't know how to answer please just leave the question blank, it's not a test

How would you teach your dog in house training?

How would you teach your dog to sit?

How would you overcome problems such as separation anxiety?

How would you overcome problems such as fearfulness?

Would you consider a dog who tried to walk through a door before you as ....

Normal

Dominant

Acceptable

Excited

Do you consider it important to feed your dog after you've eaten?

What signals would a dog give if it was uncomfortable in a situation?

Under what circumstances do you feel you would have to return a dog to BCTGB? *

If you chose something else, please explain here

If you have any other information which you feel we should know about, please enter here. Please include any medical or mobility information in respect of anyone who will be directly involved with the dog and may be affected by matters such as allergies etc.

Safety Information

Please remember that most rescue dogs can be stressed by the changes in their life and the kennel environment, as a result they may behave out of character not only here at the centre but for some time after leaving.

We will do our best to ensure nothing untoward happens during the introductions if any dog. In the interests of your safety and the dogs welfare, please observe all the instructions and advice given by staff during your time at the rescue centre.

Please read the advice on Kennel Cough, especially if you are bringing your own dog with you

DATA PROTECTION - Your details will NEVER be passed to third parties. Please confirm you give us the right to receive and store your personal data in respect of adopting a dog. Should you wish us to delete these details at any stage please email info@bordercollietrustgb.org.uk *

I consent to Border Collie Trust GB collecting my details in respect of adopting a dog

Proof of ID and address *

I understand I will be required to show a form of ID and address such as driving licence, passport or utility bill prior to adopting

Please remember a settling in period is very important with any rescue dog

Signature

Clear

If you unable to sign electronically please enter your name below as an alternative

First Last

As we often receive a number of applications for certain dogs we will retain all applications for 12 months to adopt for further consideration unless you tick the box below to request your details are deleted should the dog you are interested in be rehomed.

Yes please delete my application if the dog/s I am interested in are adopted elsewhere

Date Time

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