German Shepherd Rescue Adoption Application

First name:
Last name:
Address:
City: Prov: Postal Code:
Home phone:
Email Address:

Please list and describe your current dog first, and then any other dog where you were the primary caretaker:
Name: Breed:
Age: Gender: Altered? Yes No
Dog owned now, deceased or other?
Has your current dog ever lived with another dog? Yes No
If so, how well did they get along?

Do you have any children living with you? Yes no
How old are your children?

Why do you especially want to own a German Shepherd Dog, vs. other breeds?:

Have you ever had to give up a dog/give it away/euthanize a dog for behavioral issues (please explain the circumstances)?

Do you have any other animals? Please list what you have and note whether they've ever lived with a large dog before: (For instance, cats, pet rodents, birds, etc.)

Is your dwelling a: house apartment townhouse other (describe)
Do you own or rent?

Do you have a fenced-in yard or fenced area attached to your house?: Yes No
If yes, what type of fencing? Height:
Length: Width:


Which German Shepherd are you interested in?

If you do not have a fenced area attached to your house, would you be willing to install one? Yes No

Are you aware of any distractions outside your yard that could plague the dog while he is out? (such as neighbors dog or cat, loose dogs on street, mischievous children, neighbors who don't like GSDs)? Please list these things - we just want you and GSR to be aware of them:

Where will your German Shepherd sleep at night?


Where will your German Shepherd stay during the day when you are home?


Where will your German Shepherd stay during the day when you are NOT home?

Under what circumstances would you find it necessary to get rid of, or re-home your dog?:
Moving
Change in schedule
Marriage to somebody who doesn't like your dog
Divorce
New Baby
Current pets don't like new dog
Illness
Other (please specify):

How did you hear about our GSR?

Submitting this form indicates that I am at least 21 years of age and intend to be the legal owner and the person responsible for the care and well-being of any dog I adopt from German Shepherd Country Haven And Rescue. In submitting this application, I give representatives of GSCHR permission to contact my veterinarian, references, and landlord if that applies, for information to aid in the evaluation of whether a German Shepherd Dog is appropriate for me and my current living situation.