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OLD ENGLISH SHEEPDOG RESCUE APPLICATION
Please answer the following application completely and return it by post or electronically to the name and address at the end of the form. Be sure to answer all questions completely and honestly. All applicants will be required to have a personal family interview with the Rescue Chairperson or someone who lives in your area chosen by the Chairperson. People living in apartment buildings will not be considered. A yard is a must and complete fencing is preferred.
Name __________________________________________________________________
Address ________________________________________________________________
Home phone (_____) ____________ E-mail address ________________
Occcupation of primary care giver ___________________________________________
Work hours _____________ to _________________
Occupation of spouse/partner _______________________________________________
Work hours _____________ to __________________
Referred by _____________________________________________________________
Telephone or e-mail address ______________________________________
Name and address of your veterinarian _______________________________________
________________________________________
Type of dwelling House (own/rent) ______ Condo (ground floor only) ____
Do you have fencing? Yes ___ No ____
Type ___________________ Length _______ Width ______ Height _______
Is your fenced area attached to the house? _______
Does a door in your house lead directly into the fenced area? _____
Why do you wish to adopt an Old English Sheepdog? ____________________________
____________________________________________________________________
Have you ever owned a dog yourself ? What kind(s)? __________________________
____________________________________________________________________
What happened to the last pet which you owned? _______________________________
How long did you have this pet? _________________________________________
Do you have other animals? List all and give age and sex if you already have a dog(s).
_____________________________________________________________________
_____________________________________________________________________
Have you ever lost a dog? _________ Had one killed or injured? ______________
Do you have children? List number and ages. __________________________________
Do any of your family members have allergies? __________ Causes(s) _____________
___________________________________________________
Where do you plan to keep your dog during the day? ____________________________
at night? ____________________________
How many hours will the dog have to be alone? ________________________________
Is someone home during the day? _________________ part of the day? ___________
Are you willing to take the dog to obedience classes if necessary? Yes__ No__
Do you prefer a Male ____ Female ______ No preference _____ Age _____
I have answered the questions honestly and am willing to be interviewed by the Chairperson or someone of her choosing. I am over 25 years of age.
Signature ___________________________ Date _______________________
RETURN TO.
Old English Sheepdog Rescue,
% Margaret J. Trenholm,
5366 Ridge Road,
Godmanchester, QC, JOS IHO
E-mail address: trenholmoes@sympatico.ca
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