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D
allas /
Ft.
Worth
Sheltie
Rescue
24 Hour Voice Mail: 972-994-7848
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Adoption Application and Information
Dallas/Ft. Worth Sheltie Rescue, Inc. (“DFW Sheltie Rescue”) is a non-profit charitable organization comprised of volunteers who give their time, ability, and homes to help place Shetland Sheepdogs, commonly known as Shelties, where they will be well cared for and loved. Our main goals are the protection of Shelties already here, the prevention of further over-breeding, and the education of any Sheltie owner who requests it.
DFW Sheltie Rescue was established in response to the need to find good homes for Shelties that are abandoned, lost, or mistreated and that are in dire need of a new lease on life. We also help, in extreme emergencies, those who must give up their dogs. We feel that the responsibility for caring for lost, neglected, and abused Shelties must rest with those who know and love the breed. DFW Sheltie Rescue’s volunteers have many years of experience with this breed and understand the needs of the dogs. What better reward could there be than knowing that dozens of Shelties, which otherwise might have been put to sleep, left out to starve, or to run loose in the streets to be crippled or killed in traffic, are in loving and caring homes!
POINTS TO REMEMBER
Fees. Fees.The
only fee involved is a donation to help cover our medical expenses. Our fees have increased as of May
17, 2009, due to increased costs. New fees are: $250 for adults 1 – 9 years, $275 for puppies up to
1 year, and $150 for ages 10 and up. Some of these dogs require extra medical care or special
rehabilitation, which will entail much greater expense; we do not require, but would appreciate an
extra donation to help cover these expenses. We reserve the right to make adjustments in the case
of special situations and circumstances.
Spaying or Neutering.
All dogs adopted from DFW Sheltie Rescue will have been spayed or neutered. The only exceptions are very
young dogs or dogs undergoing medical treatment. Rescued Shelties make marvelous friends, and placing them
in a loving, supportive environment is the only goal we will pursue. If you would like to acquire a
Sheltie with the idea of producing puppies, we would be happy to refer you to one of the local
Sheltie breed clubs. Breeding Shelties is a time-consuming and expensive endeavor and one that
should not be attempted without knowledge and understanding of this breed and of the many
facets of breeding and nurturing puppies.
Adoption Agreement.
All adopters will be asked to sign an Adoption Agreement at the time of the adoption placement. This agreement is a legal and binding contract, so you should read it carefully. A summary of the terms and conditions of the Adoption Agreement is on the next page.
Miscellaneous.
We recommend that you follow a regular inoculation program, as well as monthly heartworm and flea preventative treatments, established by your veterinarian to help keep your dog healthy. You will receive a complete medical history on your Sheltie, as best as can be determined or documented. You must also have the dog licensed in accordance with the laws where you live. Because we do not know you personally, the information from the Adoption Application (which is requested of anyone seeking a rescue Sheltie) will help us to appropriately match you with a Sheltie for your family. We place our Shelties only in good, loving homes, and we screen prospective adopters thoroughly.
Questions.
If you have any questions, please contact:
DALLAS/FT. WORTH SHELTIE RESCUE, INC.
972.994.7848 (Answered 24/7 ~ Monitored Daily)
www.sheltie.org
SUMMARY OF ADOPTION TERMS AND CONDITIONS
- Returns. If you are not fully satisfied with the adoption, or if you cannot comply with all of the terms and conditions of the Adoption Agreement at any time during the life of the dog, you may return the dog to DFW Sheltie Rescue.
- Transfer of Ownership. The adopted dog may not be given away, sold, or transferred to another person, family, animal shelter, or entity for any reason at any time, except to DFW Sheltie Rescue.
- Refunds. If the dog is returned within 2 weeks of the adoption date, a full refund of the adoption fee/donation will be made. After 2 weeks, no refund will be made.
- Reimbursement of Expenses. There will be no reimbursement for any expenses, costs, or charges that you may incur for the adopted dog. Examples of expenses, costs, and charges are licensing fees, food and supplement expenses, and veterinary care and other service fees.
- Health and Welfare Program. You must care for the adopted dog humanely by providing adequate food, shelter, and water; maintaining its health with a regular inoculation program and preventative heartworm treatments; and exercising the dog in a fenced yard or on a leash at all times. The dog must not be free to roam the streets.
- Licensing and Identification. The dog must be licensed according to the laws and ordinances of the city, town, municipality, county, or other area in which you live. You must also keep personal identification on the dog at all times, including the DFW Sheltie Rescue ID tag;
- Reason for Adoption. You are adopting the dog to be an indoor house pet only and not to leave it outside. You are not adopting the dog for medical, other experimental, or breeding purposes or to chain or tie the dog.
- Loss. If the adopted dog is lost or stolen, you must notify DFW Sheltie Rescue immediately so DFW Sheltie Rescue may help locate the dog.
- Spaying or Neutering. If the dog you are adopting is not spayed or neutered, you will be asked to pay a deposit and to agree to spay or neuter the dog by a certain date. When DFW Sheltie Rescue receives a spay/neuter certificate that is signed by the veterinarian who performed to surgery and we confirm the spay or neuter, your deposit will be refunded.
- Right of Inspection and Inquiry; Remedies. To protect the welfare of the adopted dog, DFW Sheltie Rescue reserves the right to examine and make inquiries about the dog at any time. If DFW Sheltie Rescue learns that a term or condition of the Adoption Agreement is not being met, it has the right to terminate the Adoption Agreement and repossess the dog.
- No Warranties; Release and Indemnity. You will receive the dog “as is” and agree to assume all of the risks and financial responsibilities of ownership of the dog. Also, if the dog you are adopting was found wandering or lost, there is a possibility that the owner(s) may contact DFW Sheltie Rescue for return of the dog. If this occurs, DFW Sheltie Rescue will place another dog with you at no additional cost.
- Returned Check Charge. There will be a $25 charge on any check that is returned.
ADOPTION APPLICATION
Please PRINT and complete each question in full. Incomplete applications will not be accepted.
Name______________________________email_____________________________________
Address__________________________________________________________
City:___________________________State:_______Zip:___________ Home Phone___________________
Occupation__________________________Work Phone__________________________________________
If apartment, what floor do you live on?__________________________________________
1. Have you previously filed an application with us? YES NO
If yes, give date(s):_____________________________
2. Have you ever filed an application with another rescue group or shelter (including SPCA,
Operation Kindness)? YES NO
If yes, please list names and dates:________________________________________
___________________________________________________________________________
___________________________________________________________________________
3. Have you ever owned a Sheltie before? YES NO
Do you still have that dog?
Male Female Age_________
Is your pet Spayed or Neutered? YES NO
4. Have you ever owned a Sheltie before? Yes / No
Do you still have that dog? _______ M/F?______
Age? _________ Spayed/Neutered?_________
If “no”, have you researched the breed? Yes / No
Do you know they are known for barking? ______ Do you know they can be shy? _________________
5. What happened to your last dog?
________________________________________________
________________________________________________
________________________________________________
What kind of dog was it?
________________________________________________
________________________________________________
________________________________________________
Please explain the circumstances: (unless in #8 below)
________________________________________________
________________________________________________
________________________________________________
6. During the last two years, have you:
a. Lost a pet (not through death)? If “yes,” what happened?
________________________________________________
________________________________________________
________________________________________________
b. Had a pet stolen? If “yes,” what happened?
________________________________________________
________________________________________________
________________________________________________
c. Had a pet poisoned? If “yes,” what happened?
________________________________________________
________________________________________________
________________________________________________
________________________________________________
d. Had a pet killed by a vehicle? If “yes,” what happened?
________________________________________________
________________________________________________
________________________________________________
e. Had a pet die due to disease? If “yes,” what did it die of?
________________________________________________
________________________________________________
________________________________________________
7. For what purpose do you want this dog?__________________________
8. Do you have any other animals? Yes/No
List type, age, and sex: _______________________
________________________________________________
Are they spayed/neutered? Yes / No
May we contact the clinic for references?YES NO
9. What is your vet’s name, address & phone number?
May we contact the clinic for references?
What type of heartworm and flea prevention do you use?
If “none,” please explain: ____________________________________
________________________________________________
10. Do you live in a house? Apartment? Condo? Mobile Home?
If an apartment, please provide name of apartment complex and management office number
(for verification purposes, e.g., weight limits):__________________________
11. Do you rent, or own? ______ If renting, do you have landlord’s permission to keep a dog?
__________ Have you paid a pet deposit? _______________
12. Do you have a yard?_______Is it fenced?_____If "yes," what type? _______
Height_________
If you do not have a yard/fence, how do you plan to potty/exercise your Sheltie?
________________________________________________________________
13. Do you have a dog door? YES NO
If “yes,” where is the doggie door? (e.g., from house to yard, from garage to yard, etc.)
Is the area securely fenced?_____________________
14. Do you have a pool? Above ground or in-ground?
Is it fenced separately from the yard? _______________
Is it fenced separately from the yard? _____________________
15. Are you planning to move in the near future? YES NO
Are you willing to give DFWSR your new address and phone? YES NO
16. Is someone home during the day? __________Please explain:
________________________________________________________________
________________________________________________________________
17. What provisions will be made for your Sheltie if nobody is home during the day?
________________________________________________________________
________________________________________________________________
18. Where will the Sheltie spend his or her time while you are gone (please be specific)?
________________________________________________________________
________________________________________________________________
19. Do you intend to keep this dog primarily indoors or outdoors? YES NO
Please explain: ________________________________________________________________
________________________________________________________________
20. Where will your Sheltie sleep? ________________Permitted on furniture or bed?_________________________
21. Do you have a sex preference? MALE FEMALE
If yes, which? _______________________________________________
Would you consider the opposite sex? YES NO
22. Color preference (due to the popularity of Blue Merles, we do not see them often in Rescue)
Second color preference: ________________________________________________________________
23. Age preference (we rarely see Shelties younger than 2 years in our program)
Would you consider: An older dog? YES NO
To What Age?____________ A Sheltie-mix? YES NO
24. What size Sheltie do you prefer?________________________________________________________________
25. Are other members of your household aware that you are considering adopting a pet?
YES NO
List all individuals residing in your household who will be interacting with the
Sheltie (if any individuals are younger than 18 years old, please provide their age and sex)
________________________________________________________________
________________________________________________________________
________________________________________________________________
26. Is anyone in your household allergic to animals? YES NO
27. Are you prepared to assume the financial responsibilities of caring for an animal,
including inoculations, veterinary care, good quality food, licensing, etc.? YES NO
28. Do you understand that the Sheltie you adopt must be kept on monthly heartworm and
flea preventative? YES NO
29. Are you familiar with the animal control regulations in your area?
(including number of pets you are permitted to have in your city)? YES NO
30. Is this Sheltie going to be a gift? YES NO
For whom? ________________________________________________________________
Do they know they are getting the gift? YES NO
31. Do you understand that any rescue Sheltie that you may adopt through DFW Sheltie
Rescue will be spayed/neutered? YES NO
32. What circumstances, in your mind, justify getting rid of a dog?
________________________________________________________________
________________________________________________________________
________________________________________________________________
33. Are you willing to allow a DFW Sheltie Rescue representative member to visit your home by appointment, now and in the future?
YES NO
34. How did you hear about DFW Sheltie Rescue?
__________________________________________________
35. 35. Do you understand that there is an adoption fee as spelled out in “Points to Remember” on page 1 for any dog adopted from DFWSR?
YES NO
By signing below, I am attesting that I completed this application and that the information in it is true
and complete. I authorize investigation of all statements contained in this application. I understand
that any misstatement, omission, falsification, or misrepresentation in this application may disqualify
me from adopting a rescue dog or result in the termination of an Adoption Agreement if one is signed.
I have read and understand the Dallas/Ft. Worth Sheltie Rescue, Inc. Adoption Information and Application,
including the (a) Points to Remember and (b) Summary of Adoption Terms and Conditions. If I am approved
to adopt a rescue dog, I agree to sign an Adoption Agreement and to abide by all of the terms and conditions
contained in the agreement.
I understand that the use of this application form does not indicate that a rescue dog that matches me or
my family is currently in the rescue program and in no way obligates Dallas/Ft. Worth Sheltie Rescue, Inc.
("DFW Sheltie Rescue"), to place a rescue dog with me. I also understand that DFW Sheltie Rescue reserves
the right to refuse any application.
I am 18 years of age or older. I have read and fully understand the above statements and conditions of
adoption.
Date:_________________Signature of Applicant___________________________________________
Date:_________________Signature of Co-Applicant (if any) or Parent or Guardian if Applicant
is under 18 years of age_________________________________________________________________
Thank you for considering a dog from DFW Sheltie Rescue. If you have any questions, or if we
can be of assistance, call us at 972.994.7848.
Please return by mail or fax to:
Dallas/Ft. Worth Sheltie Rescue
P.O. Box 251
Merit, TX 75458
903-776-2541
(8:00 a.m. - 9:00 p.m.)
DFW Sheltie Rescue Official Use Only:
Approved Not Approved
Rescue Volunteer:______________________________Date:______________________
Comments:_________________________________________________________________________
___________________________________________________________________________________
Dog Adopted:_____________________________ Number:__________________Date:___________