This form will allow you to post your family description and desired features in a rescue dog to Border Collie Rescue in northern Florida. Due to privacy concerns, we will no longer be publicly publishing listings for homes looking for a Border Collie on the web site. We will retain copies of all completed forms at our main rescue facility to facilitate the adoption process. Anyone (rescuer or individual looking to place their dog) looking for particular listings or listings by region, simply and we will provide contact information from applicable applications.

Please fill out this form as completely as possible. The more information that you can provide us, the better we can match your needs with the right dog. Please check all boxes that apply where appropriate. Also, don't forget to check the listings of dogs available to see if any of the current dogs would be an appropriate match. Filling out this form does not constitute the filing of an official adoption application for Border Collie Rescue. A signed version must be mailed in in most circumstances. In fact, you may or may not get a response to your application, depending on circumstances and particular rescuers' desires. It is up to you to pursue the adoption process. Do not expect rescuers to come knocking down your door in order to adopt a dog to you.

Please Note - These pages are not to be used to seek out a Border Collie for purchase. This is for the placement of rescued Border Collies * only *.

NOTICE AUGUST 4, 1999: PLEASE DO NOT ATTEMPT TO SEND THIS FORM ONLINE. At this time, forms must be printed or copied and sent via mail, email or fax. We aplogize for any inconvenience this may cause.

Household Description

Your Name :

Your Address :

Phone number :

Email address :

Number of family members in the household :

Number of children :

  1. 0
  2. 1
  3. 2
  4. 3
  5. 4
  6. More than 4

Ages of the children :
(separate by commas)

Household setting :

  1. Rural
  2. Suburban
  3. Urban

Dwelling type :

  1. House
  2. Apartment
  3. Townhouse
  4. Other

Do you :

  1. Rent
  2. Own

If you rent, do you have the landlord's permission to keep a dog?

  1. Yes
  2. No

Do you have a fenced-in yard?

  1. Yes
  2. No

Height of fence :

Type of fencing :

Do you have any other animals?

  1. Dogs
  2. Cats


  3. Birds

  4. Other


Is someone home during the day?

  1. Yes
  2. No

Are you planning to move in the near future?

  1. Yes
  2. No

Desired Dog Characteristics

What color dog do you prefer?

Would you be willing to accept another color?

  1. Yes
  2. No

Which sex do you prefer?

  1. Male
  2. Female
  3. Doesn't matter

What size dog do you prefer?

  1. Large (50 - 60 lbs)
  2. Medium (40 - 50 lbs)
  3. Small (30 - 40 lbs)
  4. Doesn't matter

What age range(s) would you be willing to accept?

  1. Puppy (less than 6 months)
  2. 6 months - 1 year
  3. 1 - 2 years
  4. 2 - 3 years
  5. 3 - 5 years
  6. 5 - 10 years
  7. Over 10 years
  8. Doesn't matter

Other Important Information

Do you intend to keep the dog primarily indoors or outdoors?

  1. Indoors
  2. Outdoors

Have you ever owned a Border Collie before?

  1. Yes
  2. No


Would you be willing to have a rescue representative visit you in your home?

  1. Yes
  2. No

Are you willing to pay a rescue fee?

  1. Yes
  2. No

Are you willing to pay for other special costs, such as shipping, medical expenditures, crates, etc.?

  1. Yes
  2. No

For what purpose(s) do you wish to adopt this dog?

  1. Companionship
  2. Herding/Working
  3. Agility
  4. Obedience
  5. Frisbee
  6. Search and Rescue
  7. Assistance Dog
  8. Other


Why do you want to adopt a Border Collie rather than another breed of dog?

NOTICE AUGUST 4, 1999: PLEASE DO NOT ATTEMPT TO SEND THIS FORM ONLINE. At this time, forms must be printed or copied and sent via mail, email or fax. We aplogize for any inconvenience this may cause.

To reset the form, press this button:

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Page last updated August 3, 2000. All material Copyright © 2004 Border Collie Rescue, Inc.
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