Phone Number *
Street Address *
City *
State *
Zip Code *
Are you interested in a particular PRBCR dog? If so, which one?
What is your ideal dog? * Puppy Young Adult Senior No Preference
What is your preferred sex? * Male Female No Preference
YOUR HOME & LIFESTYLE - What type of housing do you live in? * House Condo Townhouse Apartment Farm
Do you rent or own? * Rent Own
If you rent, do you have permission to have a medium/large dog inside? Yes No n/a
If you rent, please provide landlord contact name and contact information.
Please list names and ages of everyone in the household. (Note: You must be 21 years old to complete an application) *
Do you have children who visit on a regular basis? * Yes No
Please list types and ages of all pets in the household. *
What hours do you work? *
How much estimated time will you spend with your dog each day? *
Have you ever given up a dog to a shelter? * Yes No
If yes, please explain.
YOUR DOG'S LIFE - Where will you keep your dog when you are home? *
Where will you keep your dog when you are at work? *
What is the approximate size of your yard? *
Do you have a fence? If yes, what type? *
VET REFERENCE - Applicants must have a satisfactory vet reference which includes an annual exam, vaccines, a heartworm test, and purchase of monthly, year-round heartworm preventatives. Please provide your vet’s name, address and phone number. *
YOUR PERFECT DOG - What in your opinion makes a great dog? *
What activities do you plan to do with your new dog? *
Have you ever had a border collie before? *
Is there anything else you’d like us to know about yourself, your family, and the type of dog you expect that would help us match you to the perfect dog? *
