Please answer every question, if only with N/A or ?

* indicates a required field

If completing the application on line is too difficult, please click on Contact Us and we will send the application in pdf and word formats.


Look Back Border Collie Rescue, Inc.

The Submit button will take you to the next page.  We are sorry the application is so long, but it really does help insure successful adoptions.  Thank you for your patience.