Adoption
Information
* Name:
* Street
Address:
* City:
* State:
* Zip
Code:
* Daytime
Phone Number:
Evening
Phone Number:
* Email:
Drivers
License Number (include state):
Occupation
of Applicant:
Employed
by:
Your
Family and Pets
How
many adults in the home?:
How
many children at home??:
Ages
of children:
Do
all family members want a dog ?
yes
no
Do
you live in a:
House
Town
Home/ Condo
Duplex
Trailer/
Mobile Home
Apartment
Other:
Do
you own or rent your home?:
Do
you have a fenced yard?
yes no
Height
and Type of fence:
List
current pets, including age and sex:
List
former pets that you have had in the last five years and
what happened to them:
References
Your
Veterinarian's Name:
Your
Veterinarian's Phone Number:
Have
you used this vet in the past?:
Please
list two references--at least one should not be a family
member.
Reference
#1 Name:
Reference
#1 Phone Number:
Reference
#2 Name:
Reference
#2 Phone Number:
Your
interest in a German Shepherd Dog
* Which
dog(s) are you interested in applying for?
Why
do you want a dog?:
Companion
Guard
Dog
Gift
Personal
Protection
Child's
Companion
Other:
Please
explain in detail your idea of the dog that would fit best
in your home.
List
any step-children, grandchildren and others, including their
ages that visit on a regular basis (week-ends or vacations):
Is
there anyone at home who might be adversely affected by a
dog (i.e. allergies)?:
Care
and Training
Who
will be responsible for the care of the dog?:
Where
will the dog be kept during the day?:
Where
will the dog be kept at night?:
Are
you familiar with the use of a crate to train and/or confine
the dog in your absence?:
Yes
No
Will
the dog have the run of the house? :
Yes
No
Will
the dog be tied outside or live in the yard? :
Do
you own a kennel:
Yes
No
Describe
your dog training experience:
Will
you take your dog to Obedience Training?
Yes
No
How
will you discipline your dog?:
How
will you exercise your dog and what activities will
you share ?:
What
will you do with your dog when you go on vacation?:
If
you move, what will you do with your dog?:
Are
you willing to take responsibility for this dog for 10 years
of more?:
Yes
No
Are
you aware of the costs involved in taking care of a large
dog each year (vet care, licensing, food, toys, treats,
obedience training - min. $600)?:
Yes
No
What
heartworm preventative will you use?:
What
steps will you take to control fleas?:
We
require that all dogs be spayed/neutered prior to adoption,
do you have any questions about this policy?:
If
you are unable to care for your dog in the future, who will
accept responsibility for its care? :
What
type of vehicle will you transport your GSD in; if a truck,
where will the dog be in the truck?:
We
try to follow up on the welfare of our adopted dogs - would
you mind a visit or a call?:
Yes
No
Sex:
-please choose-
male (neutered)
female (spayed)
either
(All
dogs are spayed/neutered prior to adoption.)
Age:
-please choose-
Puppy
Adult
Senior
No preference
Temperament:
-please choose-
active
quiet
protective
gentle
Do
you have any special needs or wants?:
How
did you hear about German Shepherd Rescue, Central
Texas?
Another
Rescue Group
Another
Web site
Friend
Other