First Name:
Last Name:
Co-Applicant (if any):
Address:
City:
State:
Zip:
Home Phone:
Cell Phone
Work Phone:
Email:
Verify Email:
Alternate Email:
Status
Married
Single
If you do NOT own your home, please include a copy of your rental/lease agreement with landlord name and telephone number with the application. We will contact all landlords to verify pet policies. Do you...
Own
Rent
How long have you lived in your home?
Others living with you, or those who are frequent visitors to your home defined as 1 or more visits per week. Provide NAME, AGE, RELATIONSHIP, and if the person is a VISITOR OR LIVES IN THE HOME.
About Your Ideal German Shepherd Dog
How did you hear about SGSD Rescue?
Have you applied for a dog with another Rescue Group?
Yes
No
Is yes, which one(s)?
Do you have prior experience owning and/or handling German Shepherd Dogs? (explain)
Why are you interested in German Shepherd Dogs as a breed?
What other breeds are you considering and why?
Name of dog(s) you are interested in:
Why did you choose this dog?
If this dog is unavailable, are you interested in other dogs we may have available?
Yes
No
Are you willing to wait if a dog is not immediately available?
Yes
No
Would you consider a special needs dog, such as one who requires medication for a permanent but controlled condition (for example: allergies)?
Yes
No
Gender preference
Male
Female
No Preference
Color Preference No Preference
Black/Tan Black/Silver
Black/Red White
Black
Bicolor Sable
Age Preference No Preference
Under 6 months
6-12 months 1-2 years
2-4 years
4-6 years
7 years (ask about our Seniors-Furever program)
Why are you adopting a pet? For me/my family
As a gift
For protection
As a companion for another animal
Friend/family have/had one For breeding
Working dog
Other
Please list the top THREE characteristics you are looking for in your new companion in order of importance. Examples: protective, active/playful, aggressive, friendly, good with kids, calm
About Your Household
Are there any circumstances (health, family, professional, financial) or planned circumstances (new baby, plans to move houses etc.) that could result in your being unable to take care of this dog?
Yes
No
If you choose YES in the question above, please explain.
If there are children in or visiting your home, how will you educate and train the children in appropriate ways to treat and interact with a dog?
Do you have a formal provision for the dog in the event you are no longer able to care for him/her?
Yes
No
If you answered NO to the question above, will you agree to make such provision immediately after adoption?
Yes
No
Do you (or anyone else in the household) have asthma or allergies to animals?
Yes
No
Have you ever sold, surrendered, or given away a pet?
Yes
No
If you choose YES in the question above, please explain.
What circumstances, in your mind, justify giving away or surrendering a pet?
What will you do with the animal if you move, marry, have a baby, or make other significant changes in your life circumstances?
Are you willing to provide pet care for the next 10 years (or more) including vet checks, vaccinations, boarding, medical care (including monthly heartworm preventative), indoor housing, etc?
Yes
No
What do you expect to pay for annual pet care?
Are you aware that GSDs are very active and that they shed year-round?
Yes
No
Will you groom the dog yourself?
Yes
No
Will you use a groomer?
Yes
No
Are you familiar with the animal control regulations in your area?
Yes
No
Do you agree to abide by these regulations?
Yes
No
Briefly, what are these regulations?
Have you ever lost a pet, had one disappear, or die at an early age (dogs dying before age 10)?
Yes
No
If you choose YES in the question above, please explain.
Please list all current pets and those you have owned over the last 10 years. If none, list pets owned in childhood. List ALL animals currently living with you, even if you do not own them. If deceased, when did the pet die, how old was the pet when it died, please explain cause of death. Provide the following information: 1) name 2) breed 3) gender 4) age 5) spayed or neutered 6) how long owned 7) what happened to pet?
Are your dogs (past and present) on heartworm preventative?
Yes
No
Have you ever had a dog diagnosed as having heartworm?
Yes
No
About Your Daily Routine
Please be very specific and detailed regarding the following information.
Please tell us about yourself and your family, including any special activities your dog would be included:
Who will be the primary caregiver?
Where will the pet be kept during the day?
Where will the pet be kept at night?
Is anyone home during the day?
Yes
No
If you choose YES in the question above, who?
How many hours will the dog be without humans during any time period?
Where will the pet be kept during routine absences (trips to the grocery store, movies, etc.)?
Do you have any of the following? Check all that apply. Kennel Run
Doghouse
Tie-out Stake
None of these
If yes to any of the above, how often is it used and under what circumstances?
How do you plan to exercise your pet? (provide details)
Is your yard fenced?
Yes
No
If you have a fence, how high is the fence and what type is it?
Have you ever trained a dog?
Yes
No
If you choose YES in the question above, please explain.
Are you willing to enroll in obedience classes?
Yes
No
Are you willing to take the time to work with a dog that is not housebroken?
Yes
No
How much time are you willing to give the dog to adjust to its new environment and family members?
If the dog did not adjust in that timeframe what would you do?
If you adopted a dog that chews, digs, or has other bad habits, what would you do?
If your adopted dog developed a serious health problem, what do you think your limitations would be?
May a representative of SGSD Rescue visit your home prior to an adoption?
Yes
No
Are you willing to travel to pick up your adopted dog?
Yes
No
References
May we contact your veterinarian?
Yes
No
Please provide the name and address of past/current vet(s). Please notify your veterinarian that we will be contacting them and give the office permission to release your records to us.
Your veterinarian's phone number
Name of pets treated
Please provide three additional references (not related to you). Include 1) Name 2) Phone 3) Relationship 4) How long known
By checking the box below, you verify that you are 21 years of age and the information provided is accurate to the best of your knowledge. I agree
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Click here for a printable PDF version of this application or fill out the online form below.