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Midamerica Border Collie Rescue

Courtesy Listing Request

Please complete the following information to the best of your ability. All information provided is used solely for the purpose of determining if we will be able to list your dog on our Courtesy Listing Page.

Please send us two photos of your dog:

1. We would like a full body shot taken from the side and including the tail.
2. A picture of your dog's head, facing the camera.

Send your photos to: dvenner@comcast.net

Please answer the following questions about the dog needing help. All information is required.

Some information about you

Contact Person
Phone
E-mail
Address:
City
State
Zip Code
Contact information you would like listed
on our website

Some information about your dog

Dog's Name
Gender
Spay/neuter?
Dog's Age
Please list the dates and types of vaccinations this dog has received
Please give the name & phone # of the vet we can contact to verify vaccination & health records.
MBCR requires that all dogs listed on our Courtesy Listing page be up to date on vaccinations and in good general health. MBCR may contact the veterinarian that has seen the dog for verification.
Has this dog ever bitten anyone?
If so, please give circumstances:
Is this a purebred Border Collie or a mix? If this is a mix, what breeds does it appear to be mixed with?
Has this dog had any formal training?
What commands does this dog know?
Is this dog (yes/no)
Housebroken? Crate Trained?
Leash Trained?
Is this dog good with (yes/no)
Children? Cats? Other Dogs?
What games/toys does this dog like?
Why is it neccesary to find a new home for this dog?

Please write a short bio for the dog to be included on the Courtesy Listing Page and email to MidAmericaBCRescue@yahoo.com
This information will be provided again after submitting this form.

Once your dog has been posted on our Courtesy Listing page, you will need to notify MBCR when the dog has been rehomed, by contacting MidAmericaBCRescue@yahoo.com Additionally, an MBCR volunteer will contact you monthly for an update about your dog, as long as the listing is posted on our web site.

I understand that by submitting this request I am agreeing for MidAmerica Border Collie Rescue to release all of the information given to us in the event that a potential adopter contacts us. I certify that the above information is true and correct to the best of my knowledge.

MidAmerica Border Collie Rescue is a 501(c)(3) non-profit organization