Adoption Application

First Name (required)

Last Name (required)

Address (required)

City (required)

State (required)

Zip/Postal Code (required)

Email (required)

Home Phone (required)

Cell Phone (required)

Applicant Name (required)

Occupation (required)

Spouse/Partner Name

List Gender and Ages of all children residing in or visiting your home. WE RESCUE DOGS OF UNKNOWN BACKGROUND FROM SHELTERS, INDIVIDUALS, AND ORGANIZATIONS THROUGHOUT THE USA. FOR THAT REASON, WE ARE VERY CAUTIOUS PLACING DOGS IN HOMES WITH CHILDREN AGE 7 AND UNDER. IF YOU HAVE EXPERIENCE WITH GERMAN SHEPHERDS AND FEEL YOU CAN ADEQUATELY PROVIDE A SAFE BUFFER FOR YOUR CHILDREN AND OUR DOG, PLEASE CONTINUE WITH THIS APPLICATION. IF YOU DECIDE TO SUBMIT THIS APPLICATION AND HAVE YOUNG CHILDREN IN YOUR HOME, PLEASE UNDERSTAND, YOUR WAIT MAY BE MONTHS BEFORE WE FIND A POSSIBLY SUITABLE DOG TO BE PLACED IN YOUR HOME, AND EVEN THEN, IT WILL BE YOUR RESPONSIBILITY TO INSURE YOUR CHILDREN'S SAFETY.* (required)

Have you adopted a dog from us before? (required)

Yes

No

List current Vet- If you currently do not have a vet, please provide us with the name and phone number of the vets you previously used for your pets. (required)

Vet Phone Number (required)

Name of pets treated at vet (required)

Under what name are vet records listed? (required)

List a reference (who is not a family member) (required)

Reference phone number (required)

List Personal Reference (required)

What is their phone number? (required)

Please list an additional reference (who is not a family member) (required)

What is there phone number? (required)

How many Adults reside in your household? (required)

What are the ages of the adults in your household? (required)

Other-list ages (required)

In what type of home do you live (required)

Do you own or rent your home? (required)

If you rent, or live in a townhome or condo, please enter your property manager's name and phone number (required)

List the name, size, gender and age of dogs in your home. (required)

What other animals or livestock are in your household? (required)

Cats

Horses

Fowl

Other

What other breeds have you considered? (required)

Have you owned a German Shepherd or similar dog before? (required)

Yes

No

Please tell us about the German shepherd Dogs (or other dogs) you have had as an ADULT. If you have never had a GSD before, why have you decided on one now? (required)

Rescue dogs come with their own personalities. Some may not be a good fit for your family. What characteristics will you accept in your new German Shepherd? Check all that apply. (required)

Most rescued dogs have some issues that will need worked with. We provide you with known information. What traits would cause you to give up on your new German Shepherd? Check all that apply. (required)

Under what circumstances would you consider euthanizing a dog? (required)

What is the name of the dog you wish to be considered to adopt? (required)

Have you read the dog's story to see if he might be a good fit, rather than just looking at the dog's appearance? (required)

Yes

No

If this dog is already is set up to meet prospective adopter, or we feel is he is not a good fit, would you be interested in any other dogs that we think might be a good fit? (required)

Yes

No

Ages and Genders of Dog you want to adopt. (required)

Thinking about your lifestyle, trips or activities planned that would interfere with your ability to care for a dog, how soon are you able to take your new family member into your home? (required)

What Traits are you looking for in your new dog? (required)

Are you aware that a German Shepherd Dog may challenge a stranger or someone he doesn't know well? Also a dog may not like all your friends or your children's friends. What is your feeling about this and how would you manage this situation? (required)

What type of exercise would you offer a dog? (required)

Hiking

Neighborhood walks

Jogging

Other

What amount of time and effort do you have to devote to training your new dog? (required)

Sometimes dogs may take a while to adjust to home situation. How much time are you willing to give a dog to adjust to its new environment and family members? (required)

What activity level are you looking for in your dog? (required)

Very High Energy- Working Dog

High Energy- Active Pet

Moderate Energy

Low Energy

How much time will the dog spend WITHOUT HUMAN contact during the day? (required)

Where will the dog be kept when you are not home? (required)

How will you train your new GSD? (required)

Will the animal be kept inside or outside? (required)

Is your yard fenced? (required)

What type of fence? (required)

What is the height of the fence? (required)

Do you have a dog door? (required)

Yes

No

Often dogs are not interested in being with other dogs. Do you need a dog that can go to a dog park? (required)

Yes

No

Where will the dog sleep? (required)

Please tell us a little about yourself and why you could provide a good home for one of our rescue dogs. Please include any other comments you'd like to add for consideration of your application. (required)

Interested in volunteering? Check below. Checking a box will not influence the decision of the adoption committee to place a particular dog in your home.

I confirm that I read the Rabies Prevention Information (required)

Yes

No

I confirm that all the details, answers and information given on this application are true, accurate and complete. A volunteer will contact the references you have provided. We understand that you are excited about adding a new member to your family but please understand that we are an all volunteer organization and this process could take up to 14 days.* (required)

Your Signature (required)

Confirm e-Signature

Review Electronic Records and Signatures Policy (required)

Read our Electronic Record and Signature Disclosure

I agree to use electronic records and signatures

Adoption Application

Application Tips & Information

Foster

Foster to Adopt Application