Heirloom Wheatens - Rescue Form

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Because our club's charter is limited to Colorado, we accept rescue applications from people that reside within the state of Colorado. If you are from another state and have interest in adopting, please contact the national rescue group through The Soft Coated Wheaten Terrier Club of America; attn: Nancy Butler. Get more information here

Complete the form below if you are interested in adopting a rescued Soft Coated Wheaten Terrier. Once your completed application is received, it will be reviewed and one of the co-chairpersons will contact you to complete any missing information.

When a Wheaten is rescued, it spends time being evaluated and completing a number of medical checks. When it is ready to be adopted, we will match the dog to our list of applicants and start notifying people of a dog's availability for adoption.

A full Adoption Contract will need to be filled out and signed during the adoption process.
View a sample adoption contract here.

Fees: The cost to adopt (due upon receipt of placement contract) is:

$300 adoption fee, vet. expenses & rescue donation for dogs up to 6 years of age
$200 adoption fee, vet. fees, & rescue donation for dogs 6 years and older.

If we need to ship the dog to you, you will also need to purchase a crate and cover shipping fees. Please make checks payable to GDSCWTC Rescue.

In some cases our rescue efforts will be limited to helping make direct connection between our adoption applicants and those with dogs to relinquish.

This form will be active for 90 days, after that period you may submit a new application.

Date:

Last Name(s):

First Name(s):

Email Address:

Address:

City, State, Zip:

Home Phone:

Work Phone:

Fax Number:

Why do you want to adopt a Soft Coated Wheaten Terrier?

Have you previously owned a Wheaten? Yes No
What other breeds of dog have you owned?
What happened to your last dog?

Do you currently have other pets? Yes No
If yes, specify type of pet, age and sex:

Do you currently have a "family" veterinarian? Yes No
If yes, please state name and telephone number:

Please provide sex and ages of all members of your household.

Is someone home during the day? Yes No
If no, what is the longest time away?

Living Arrangements:
House Townhouse Apartment/Condominium
Own Lease

Do you have a fenced yard? Yes No
How high is the fence?
Do you intend to keep your Wheaten outdoors or indoors? Outdoors Indoors

Do your neighbors have dogs? Yes No
What breed or type?

Are you aware of the normal recurring expenses to own a pet Wheaten (medical, grooming, supplies, training, etc.)?
Yes No
Are you willing to provide these? Yes No

Are you aware of Wheaten grooming needs? Yes No
Do you need more wheaten grooming information? Yes No
Who will be responsible for combing your wheaten every week?

Are you willing to obedience train your Wheaten? Yes No
Are you willing to adopt a dog that needs additional training? Yes No
What experience do you have regarding pet training?

Attended "Puppy" formal training classes with my current or past dogs - Yes No
Have been involved with training programs with my adult dogs - Yes No
Other family members have been involved with training programs with our dogs -
Yes No
Have led formal training classes for dogs - Yes No
If yes, provide details:
Other training experience:

Will you accept a dog needing special medical attention? Yes No
Are you willing to have a house and family visit by one of our Rescue Co-Chairpersons?
Yes No
Do you have a preference as to Male or Female? Male Female No Preference

Additional Information you would like to give us (100 characters maximum).

I hereby certify that all the information contained on this application is true and correct. I certify that my purpose in adopting a Soft Coated Wheaten Terrier is to have a family pet and not to use for research. I understand that I will be required to sign a Conditions of Adoption Agreement and a Placement Agreement. This application will become part of those agreements, and any misrepresentation in this agreement will constitute a breach of the Conditions of Adoption and the Placement Agreement.

Entering today's date, and your name will be accepted as a signature.

SIGNATURE:
Date:
Owner Name:

If you would like to print this form and mail it to us.

Please mail to:
GDSCWTC - Rescue
4925 S. Pearl St.
Englewood, CO 80113

A full Adoption Contract will need to be filled out and signed during the adoption process.