Our adoption procedure is as follows:
1) Submission of application
2) Review of application and contacting of references
3) In depth discussion with foster home and/or rescue director about the dog(s) applied for to be sure that the dog will be a good match for the home and vice versa.
4) Home check (if out-of-area we will arrange to have a rescue or individual in that area complete the home visit).
5) Potential adopters meet with dog(s) and decide if they wish to adopt that dog.
6) Adoption: signing of contract, adoption donation, and a trip home with your new family member.
7) Follow-up support as needed.
Herding Rescue Dogs (HeRD) of Wyoming
APPLICATION FOR CANINE GUARDIANSHIP
Return by email to Joan Adsit:
WyoASR@gmail.com
1. Name (guardian)__________________________________
Address_________________________________ zip___________
Home phone___________________, Work phone_________________,
Cell phone____________________, email________________________
2. Dog(s) interested in (if specific) _________________________
3. Breed preference (Check all that apply)
Australian Shepherd _______
Border Collie _______
Australian Cattle Dog/Heeler _______
Other (Corgi, Kelpie, Sheltie, German Shepherd, Collie, etc) _________________
4. Do you prefer male_____, female______, either ______
5. What age range do you prefer? _______________________
6. Occupation/employer_________________________________________
7. Veterinarian reference: _______________________phone______________
Personal reference #1: _______________________phone_____________
Personal reference #2: _______________________phone_____________
8. Rent/own? _______, Landlord___________________ phone__________
House_____, townhouse_____, apartment______, other______________
9. Fenced yard? _____, type, size, height____________________________
Kennel run?_____, size___________, when used?__________________
10. Number of children in household (full and part time.) ______
ages and genders___________________________
11. Number of adults in the household (full and part time.)_____
ages and genders__________________________________________
12. Number of other dogs______, cats______ , other small animals_________
Breed, age, gender (spayed/neutered?) of dogs___________________
13. Primary caregiver of this dog___________________________________
14. How will this dog be exercised?_________________________________
15. Where will the dog stay at night?________________________________
16. Where will the dog stay during the day?___________________________
17. Will you use a tie-out, cable, or chain to restrain your dog outside?_____
18. Is there an adult home during the day?______________
19. Do you plan to take this dog to obedience training? ____
20. Do you own a pickup truck?______ If so, where will the dog ride? ______________________
21. Who will care for your dog in case of emergency? Vacation?
_________________________________________________________
22. How many hours a day will your dog be alone?__________________
23. Activities you participate in that will include your dog: hiking___ walks____
agility___ camping___ frisbee___ herding___ flyball ___ biking___ swimming ___
other_____________________________________________
24. Your level of experience as a dog owner: exp_____, somewhat exp_______; novice_______
25. Have you had previous experience with rescue dogs? _____ If so, please explain:
________________________________________________
26. Do you intend to provide your dog with a loving home for the rest of his/her life? ____________
27. What characteristics do you expect of this dog? ____________________________
28. Under what circumstances would you consider surrendering your dog? _____________
29. Have you had any dogs in the past 5 years that you no longer have? _____ If so, what happened?
______________________________________________________
30. Preferred activity level:
____ Couch potato ____ Moderate Energy ____Active
____Energizer Bunny/High Drive ____Other
31. Would you consider a special needs dog, such as one that requires daily medication? _____
32. Are you prepared to adopt: now_______, later________(date)________
33. Do you agree to a home check?__________
34. Would you be interested in serving as a foster home for a dog? No___ Now___ Future___
35. Any additional comments you would like to share with the individuals or committee
reviewing your application: ____________________________________________________
__________________________________________________________________________
A rescue dog MAY have experienced an unfortunate history of one or more of the following: neglect, abuse, abandonment, loneliness,
insecurity, distrust. A period of adjustment (days for some, weeks for some) should be expected in some instances. Often the new
dog is so grateful and overwhelmed with your show of love, devotion and consistency that she/he relaxes immediately and opens
her/his heart to you. In either case, a rescue dog is almost always grateful, loyal, very affectionate, eager to please and very
companionable. HeRD of Wyoming asks for a rescue donation between $100 and $225 to help cover the costs of spay/neuter,
vaccinations, heartworm test, microchip ID, and other office, foster and transport costs we incur. Submission of your application
does not guarantee placement of a dog. Applicants must agree to a home visit if asked for one. The rescue donation is due at the
time of placement.
I understand that any misrepresentation of fact may result in the removal of the placed dog from my home. I understand that HeRD
of Wyoming is not responsible for the accuracy of information received about the temperament habits or physical condition of
dogs available for adoption. HeRD is neither liable nor responsible for any damage, injury or accident resulting from the placement
of this dog. I will accept the responsibilities for the health, housing, feeding, training and companionship of this dog.
Guardian's signature____________________________ Date____________
Click here to add text.
If you would like to apply to adopt a dog, please highlight the following application (click in front of text and drag to the end), copy (press CTL C), paste (press CTL V) in the body of a new email to wyoasr@gmail.com, and fill in the blanks. You may apply for a specific dog or for pre-approval to adopt.
