Apply to Adopt


ARCBCR Adoption Application

What is the name of the dog you are interested in?
Would you prefer that ARCBCR assist you in determining which dog would be ideal for you?
 Yes 
 No 
What characteristics are you looking for in a dog?
 Playful 
 Easy Going 
 Energetic  
 Companion 
 Good with Kids 
 Crate Trained 
 House Broken 
 Good with Other Dogs 
 Good with Cats 
 Obediant Gaurd Dog 
 Active Out Door Dog 
 Indoor Lap Dog 
 Other 
First Name *
Last Name *
Address

Street Address

Address Line 2

City
State / Province / Region

Postal / Zip Code
Country
Phone

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Email
What type of area do you live in?
 City 
 Suburban 
 Rural 
Do you own or rent your house?
 Own 
 Rent 
If you are renting, do you have permission to get a dog?
 Yes 
 No 
If you are renting, what is the name of your landlord?

First
Last
If you are renting, what is the phone number of your landlord?

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Do you authorize a member of ARCBCR to contact your landlord to verify your information?
 Yes 
 No 
What is the approximate size of your yard?
Do you have a fenced in yard?
 Yes 
 No 
If you have a fence, what type is it?
What is the height of your fence?
Do you authorize a member of ARCBCR to visit your home and interview your family?
 Yes 
 No 
List the first names and ages of all household members.
List the employers of all adults in the household.
What type of jobs to the adults in the household have?
List 3 personal references with name and phone numbers.
Do you authorize a member of ARCBCR to call any or all of your references listed?
 Yes 
 No 
List types and ages of all current household pets.
If you have a dog(s), are they currently on heartworm prevention?
 Yes 
 No 
What is your vet's name and phone number? *
Do you authorize a member of ARCBCR to call your vet for a refer
 Yes 
 No 
If you had pets, what type of pets did you have in the past and what happened to them?
Where do you intend to keep your new dog primarily?
 Indoors 
 Outdoors 
 Both 
Where will the dog be when alone in the house?
What are the number of hours your new dog will be alone in the house?
Describe your new dogs living quarters.
What work or activities do you plan to pursue with your dog?
What work or activities do you plan to pursue with your dog?
What experience do you have with border collies?
Why do you want a border collie or border collie mix?
Have you or anyone in your household been convicted of animal cruelty, neglect, or abandonment? *
 Yes 
 No 
How did you hear about ARCBCR?
Would you like to become a volunteer for ARCBCR?
 Yes 
 No 

TERMS OF ADOPTION

At ARCBCR, it’s always all about the dogs. That means it’s really all about you, your family, and your new dog, making certain that both you as the new owner/s and dog/s have a happy, forever life together. The conditions of adoption that ARCBCR requires are based on our experience and desire to ensure that each and every one of our dogs is placed in a safe, loving, happy, and permanent home. All ARCBCR dogs are being fostered in a family home situation. That translates into a great deal of emotional involvement, time, and energy invested in each of our dogs. They truly are our family members up until the time you apply for adoption, are approved, and the dog is placed in your hands, becoming a loved family member of your own.

 

If I am approved by ARCBCR for adoption, I promise, and agree to the following conditions:

1. To keep my ARCBCR dog(s) in my personal possession and at all times provide proper food, water, shelter, grooming, love, and humane treatment.

2. To provide my ARCBCR dog(s) with the proper veterinary care to include regular medical exams, care if he/she becomes sick or injured, to keep current on all vaccinations such as rabies, distemper, parvo, and other vaccinations as recommended by my vetinarian, and to keep current on heart worm preventative.

3. To contact ARCBCR immediately if I/we are unable to keep our ARCBCR dog(s) and it becomes necessary to relinquish or otherwise place our ARCBCR dog(s) elsewhere. I/we are personally responsible for returning our ARCBCR dog(s) at our expense to ARCBCR. My/our ARCBCR dog(s) will not be sold to, given to, or adopted to anyone else. My ARCBCR dog(s) will not be transferred to another owner, to any firm, corporation, shelter, another rescue organization, or research facility without prior written permission from at least three (3) active board members of ARCBCR.

4. Immediately upon taking possession of my ARCBCR dog(s), I assume full responsibility of the dog(s) actions, and for any damage done by this/these dog(s). I understand that once I sign the adoption application given to me by ARCBCR and take possession of my ARCBCR dog(s), I release all persons acting on behalf of ARCBCR for any responsibility or liability for any action or damage done by my ARCBCR dog(s).

5. To provide my ARCBCR dog(s) with a secure form of ID which will be attached to my dog(s) at all times.

6. To allow two (2) ARCBCR representatives together, within 24 hours after notification, to visit my home allowing them to examine my ARCBCR dog/s and his/her living conditions, and to surrender my ARCBCR dog(s) if both ARCBCR representatives find conditions to be unsafe or unsatisfactory.

7. To obey and follow all animal control regulations governing the area where I live. To license my ARCBCR dog(s) according to regulations within my area.

8. To ensure that my ARCBCR dog(s) is/are in a safe environment at all times and never allowed to run free outside without adult supervision.

 

ATLANTIC REGION CENTRAL BORDER COLLIE RESCUE DISCLAIMER

I understand unequivocally that Atlantic Region Central Border Collie Rescue can not, will not, and does not make any representations or guarantees, either expressed or implied, concerning the health, habits, temperament, background, or age of any dog I adopt from them. I understand unequivocally that Atlantic Region Central Border Collie Rescue can not, will not, and does not make any representations or guarantees, regarding future reactions by my ARCBCR dog/s to me, my family, my other pets, other persons, or property because I fully understand that animals are completely unpredictable. As a result, I hereby release Atlantic Region Central Border Collie Rescue and or anyone representing Atlantic Region Central Border Collie Rescue from any claims of injury or damage, which my ARCBCR dog/s may cause to me or anyone else. I further agree to hold harmless Atlantic Region Central Border Collie rescue from any and all claims of liability to other persons for injuries or damage caused them by my ARCBCR dog/s while he/she is in my care, possession, and custody. I have chosen my ARCBCR dog/s upon my own observation of the actions and temperament, and have selected my ARCBCR dog/s based solely upon my own judgment.

 

I Am An Adult 21 Years Of Age Or Older And By Submitting This Application, I Agree To The Terms And Conditions As Written And Described Above By Atlantic Region Central Border Collie Rescue.
I accept these terms and conditions: *
 Yes 
I agree to pay the $225 dollar adoption fee *
 Yes 
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