Application to Adopt a Scottish Terrier

Name: 
Email address: (e.g.: you@aol.com) 

Phone number (please include area code): 

Address:


City/Town:State/Prov.: Post./Zip Code: 
 

Do you: OwnRent
What type of dwelling?
ApartmentTownhouse Duplex/TriplexHouse trailer HomeFarm Other
What color/age/sex preference do you have in a rescue Scottie?
Color: BlackWheaton BrindleNo Preference
Age: Younger Dog Older DogNo Preference
Sex: MaleFemale No Preference
Have you ever owned a Scottie before? Yes No
Would you allow us to visit your home? Yes No
What are you looking for in a rescue Scottie?
Why do you want to adopt a Rescue Scottie?
How did you hear about us?
Breed Specific information you would like sent with your packet:
Genetic Disorders Scottish Terrier FAQ Breed Standard
By choosing the "Send it" button you are acknowledging that all of the above information is true and correct to the best of your knowledge.