What is the name of the dog you are interested in?
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What characteristics are you looking for in a dog?
Name
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First Name
Last Name
Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
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What is the best number to reach you?
(###)
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Primary Email Address
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Secondary Email Address
What type of area do you live in?
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Do you own or rent your house?
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If you are renting, do you have permission to get a dog? If you own, please enter N/A.
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What is the name and phone number of your landlord? Please provide a name and phone number where they can be reached. If you own, please enter N/A.
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Do you authorize dog's owner to contact your landlord to verify your information? If you own, select N/A.
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Do you have a fenced in yard?
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If you have a fence, what type is it?
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What is the height of your fence?
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Do you authorize the dog's owner to visit your home and interview your family?
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List the first names and ages of all household members, including yourself.
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List the employers of all adults in the household.
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What type of jobs do the adults in the household have?
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List names, types, and ages of all current household pets.
For example, Buddy, dog, 12 years old.
If you have a dog(s), are they currently on heartworm prevention?
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Do you authorize a member of ARCBCR to call your vet for a reference?
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If you had pets, what type of pets did you have in the past, their names, and what happened to them?
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For example, Buddy, dog, died of cancer at 12.
Where do you intend to keep your new dog primarily?
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Where will the dog be when alone in the house?
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What are the number of hours your new dog will be alone in the house?
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Describe your new dogs living quarters.
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What work or activities do you plan to pursue with your dog?
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What experience do you have with border collies?
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Why do you want a border collie or border collie mix?
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Have you or anyone in your household been convicted of animal cruelty, neglect, or abandonment?
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What would cause you to give up your pet?
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If you couldn't keep your pet, do you have a family member willing to take the dog?
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