ADOPTION
APPLICATION
The Old English Sheepdog Rescue Network of the Southeast
Your answers to this application help us find the best
possible match between you and an Old English Sheepdog in our
care. The more we know, the better we are able to make each adoption
successful.
Name:_______________________________________________________________________________________
Address:_____________________________________________________________________________________
City:______________________ State_________
Zip__________ Email: _____________________________
Home phone (____)____________ Work phone
(____)____________________ Work hours______ to _______
Occupation ______________________________ Occupation of
spouse/partner___________________________
Referred
by___________________________________________________________________________________
Veterinarian___________________________________________________________________________________
Vet's Address__________________________________________________________________________________
1. Type of dwelling:
house(rent/own)_______ Condo_______ Apartment_______
2. Do you have fencing? ____yes ____no
If yes, Type________________ Length ________ Width ________
Height ________
Is your fenced area attached to the house?_____ Does it have a door
leading into the house?______
If not, are you willing to comply with Rescue's fencing or leash policy?
___yes ___no
Comments:________________________________________________________________________________
3. Why do you want an Old English
Sheepdog?_____________________________________________________
______________________________________________________________________________________
4. Have you ever owned a dog? _____ What
kind(s)? ______________________________________________
What happened to your last pet?
___________________________________________________________
How long did you have this pet?
____________________________________________________________
5. Do you have other animals? List type, age, sex
___________________________________________________
_______________________________________________________________________________________
6. Have you ever lost a dog? ______ Had one killed or injured?
______
7. Do you have children? List number and ages.
____________________________________________________
_______________________________________________________________________________________
8. Any allergies? _____________________________________________________________________________
9. Where will dog be kept during day? _________________________ at
night? _________________________
How many hours will dog have to be alone?
________________________________________
Is someone home during the day?
________________________________________________
10. Are you willing to take the dog to obedience class, if necessary?
____yes ____no
11. Do you prefer a ____male? ____female? ____no
preference What age __________
In order to adopt an OES from this program, it is necessary for you to have a
personal interview with one of our volunteers.
The purpose of the interview is to acquaint you with
the breed, its problems and in particular, grooming. When would you be
available? ____________________________________________________
I have read the Old English Sheepdog Rescue Network of the
Southeast&nsbp Terms of Adoption on the back of this
application and am willing to abide by those terms if I adopt an OES.
Signature:______________________________________
Date:_______________________ See Reverse Side
If you are under 18, you must have parent or guardian sign his/her
approval. Signature required!
Signature:______________________________________
Date:_______________________
The Old English
Sheepdog Rescue Network of the Southeast
Terms of Adoption
1. Fee: We ask for a minimum donation plus $20 membership in OES
Rescue Network of the Southeast. The total is due at the time the adoption
takes place. The Rescue dog will have been temperament
tested, neutered or spayed, have had all the necessary inoculations a
heartworm test, stool test for worms, and medical
treatment will be given as needed before
the dog is adopted. (Donations vary: $100 on mixes & seniors,
$175 on adults and $200 and up for puppies/young adults.)
2. AKC Papers: If AKC registration papers are available for the Rescue
dog, copies will be given to the new owner.
3. Return Policy: If for any reason, the adoption is not found to
be satisfactory, the OES Rescue Network of the Southeast requires that the dog
be returned. The Rescue dog MUST NOT be sold or given away, but returned
to Rescue if for any reason the adoption is unsatisfactory for the adopting
family. The OES Rescue Network of the Southeast reserves the right to
take back any rescue dog that is being neglected or not properly cared for.
4. Release Form: The adoptive owner must sign a legal release form
protecting themselves, the OES Rescue Network of the Southeast and the Rescue
dog.
5. License: The Rescue dog must be licensed in accordance with
existing laws in your town, and RABIES vaccine must be kept current.
6. Care: The adopting family agrees to provide adequate shelter, food,
all necessary medical and grooming care, and agrees that their Rescue dog will
not be allowed to run free or be tied out without proper supervision.
Failure to do so will require that the dog be surrendered to Rescue.
We require that you follow a regular inoculation program as established by your
veteri¬narian. Your dog will need
yearly boosters for Distemper, Parvo,
Kennel Cough. Rabies booster as required by your state
law. Your dog MUST have an annual test for heartworm and your
veterinarian will recommend a heartworm preventative program for your dog.
I have read the terms of adoption and understand them and agree to abide by
them if I adopt an Old English Sheepdog from the OES Rescue Network of the
Southeast.
Signature:__________________________________ Date:__________________
Copy form and mail to:
OES Rescue Network of the
2901 Lake Road