Adoption Application Form

First Name *

Last Name *

Please select your age range. *

Email Address *

Phone *

Street Address *

Apartment, suite, etc

City *

State *

ZIP Code

Others in your homeOther than yourself, list all the people living in your home

First name of person

Please select their age range. *

Relationship to you

What type of dwelling best describes your residence? *

Do you own or rent your home? *OwnRent

Please provide the landlord or property manager's name and phone number:NOTE: before we process your application, we contact your landlord/rental manager to verify pet policies (i.e. breed restrictions, weight restrictions, etc.)

As an adult, have you owned a German Shepherd Dog (GSD) before? *YesNo

Do you have a fenced yard? *YesNo

Have you ever lost a pet, had one disappear, or die at a young age? *YesNo

What will you do with your pet should you move, marry, have a baby, or make any other significant life changes? *

If you are unable to care for the dog in the future, who will accept responsibility for its care? *

Have you ever returned or rehomed a pet? *YesNo

Have you owned a pet in the last 10 years? *YesNo

Please provide the name, address, and phone number for any veterinarians you have had for these pets. Also, include the NAME OF EACH PET cared for by the individual vets.

Are there animals that currently live with you? (Including animals that you do not own.) *YesNo

Please list these animals (including their gender and type of pet)

Are your dogs on Heartworm Preventative? *Yes. I purchase it through my vetYes. I purchase it online and can provide my latest receiptNo. I am not sure what Heartworm Preventative isI do not currently own any dogs

If there is a specific dog in our program and you are interested in? If so, list their name here.

Would you consider a dog with special needs, such as one that requires medication for a permanent but controlled condition? *YesNo

Are you willing to deal with issues during the adjustment period, such as chewing, digging, mouthing, and housebreaking (including potty-training)? *YesNo

How far are you willing to travel to meet or pick up your dog? *

Please note:

We are a 100% foster-based rescue—we do not operate a facility or physical shelter. Our program dogs live with our volunteers in their homes while in foster care. We are also 100% volunteer based–this means that we do not have a staff and most of our volunteers work evenings and on weekends (after normal working hours) to support the rescue. Practically, this means it may take a few weeks to go through the prescreen and home visit process from start to finish. It often takes quite a bit less time, but sometimes can take more depending on capacity.

Please describe any specific traits you are NOT looking for in an adoptive dog *

How do you plan to handle introductions between a new dog and current animals? *

If you have a cat, is the adoption contingent upon the cat getting along with the dog? *YesNo

How would correct the dog if he/she has chewed something, like shoes or furniture? *

Are you willing to take responsibility for this dog for 10 years or more? *YesNo