OR Snail-mail to:
SSCGD Rescue Coordinator, 12100
Berryville Road, Rives Junction, MI 49277-9638, or
Please note that we have the right to refuse any applicant.
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City / State / Zip
Phones: Home ( ) Work: ( )
E-mail address: Do you check e-mail every day? Y N
Name of dog you are applying for? Second choice: Third choice:
Hours you are at work? May we call you at work? Y / N
Do you have an application pending with any other rescue group ?
Why do you want a Sheltie?
Please tell us about ALL the pets you have had in your adult life;
Breed: Sex: Neutered or Spayed: What happened to them (specifically):
If your current or previous pets were not spayed or neutered, please explain why?
Do you keep all of your pets up to date on all shots?
Which brand of Heartworm prevention and or Flea prevention medication do you (did you) use on your pets?
Who is your current/previous Veterinarian?
Name, address and phone number of your Vet:
Please circle one: My vet may or may not be used as a reference.
Are you a member of, or have any involvement in, or subscribe to the philosophies of HSUS or PETA?
Who lives in your home? (i.e..Mom-Dad-2 kids)
Please list ages of everyone living (even part-time) in your home:
Do you live in a: (circle one) House Apartment Condo Other
Do you own or rent?
If renting, does the landlord allow pets?
Do you have a fully fenced (no gaps) yard for the dog to use?
Does the door that you will use to let the dog outside, open directly in to the fenced area?
If not, how will the dog be exercised?
Will this dog be home alone during any part of the day? During what hours?
Where will this dog stay while you are gone?
Please check all that apply in your home:
household - visits by friends, in and out a lot, children, parties
Do you intend to keep this dog indoors or outdoors?
Where will the dog sleep?
Do you have the time and or patience to housetrain a dog, if it is not already trained?
Would you be willing to take a "special needs" (blind, deaf, handicapped) dog?
Would you be willing to work with a "behavior problem" dog?
Would you be willing to take a much older, more needy dog?
Have you ever owned a Sheltie before?
Are you aware of all a Shelties needs? (i.e. grooming, exercise)
Are you aware that Shelties are "barkers"?
Are you aware that Shelties may be somewhat shy around new people, and may take awhile to bond with?
Do you have a color preference?
Do you have a sex preference ?
Do you have an age preference?
Do you have a size preference?
Are you aware of the financial responsibilities of dog ownership…. Including vet care, medications, food, licensing, shots, grooming…etc? And that total expenses of owning this dog could be $1000.00 per year??
Would this dog be a priority in your life?
Check any of the following circumstances that would force you to give up this dog? (Check all that apply)
Sheltie Mix: $175.00