About You

Name
Address

Sheltie Information

Color
Is this dog a male or female?
Is this dog spayed/neutered?
Is this dog up-to-date on vaccinations?

Does the Dog Like…

Other dogs?
Cats?
Children?
Strangers?
Going for walks?
Riding in the car?
Does he/she get car sick?

Has the Dog Ever…

Lived in your house?
Lived outside?
Been crate trained?
Been allowed to run loose?
Been attacked by another animal?
Been hit by a car?
Allowed to breed?
Been neglected?
Been abused by a person?

Temperament

Friendly?
Cautions?
Anxious to please?
Aggressive?
Shy?
Scared?
Loves everyone?
Protective?
Hyper?
Mostly calm?
Trainable?
Will run away if loose?
Dominant personality?
Submissive personality?
Has this dog ever bitten a person?
Has this dog ever bitten another animal?

Habits

Housebroken?
Barks a lot?
Digs?
Escape artist?
Finicky eater?
Jumps fences?
Walks well on a leash?
Chews?
Destructive?
Any other bad habits?
Tricks?

Medical History

Do you currently have a Veterinarian?
Is the dog on any medications?
Is the dog up-to-date on Heartworm Prevention?
Does this dog have heartworms?
Items you are sending with the dog (Select all that apply):

Mid Florida Sheltie Rescue does not buy or pay for dogs. This is a service to help place Shelties in new homes when their present owners can no longer keep them. This service is free, however, a donation to help pay for expenses is appreciated. In no way will this affect our decision or ability to take this dog.

Comments

Your Agreement is Required

I hereby transfer complete ownership of the aboved named Sheltie to Mid Florida Sheltie Rescue. I am giving this dog to Mid Florida Sheltie Rescue knowing that they will place this dog in an adoptive home. I certify that I am the sole, rightful owner of this dog, free and clear of all other interests. I certify that all the information I have given above, is true and complete, and I have not willfully concealed any information about this dog. I hereby forever release, discharge and agree to hold harmless and indemnify Mid Florida Sheltie Rescue, it’s board of directors, it’s members, officers, and agents from all claims, demands, actions, causes of action, or liability of any kind whatsoever arising as a result of or in connection with the adoption or other disposition of the above named dog.

My name and phone number may be given to the new owner of this dog, so that the new owner may contact me if he/she wishes, to gain any further information on this dog:
Agreement