Thank you for your interest in our German Shepherd Dogs (GSD). To adopt, a person must:

  1. Be an adult with the responsibility for maintaining a household.
  2. Have ID verifying address, such as a driver’s license.
  3. Be able to provide for the training and veterinary care of the dog and to pay an agreed upon adoption fee, to help cover the costs of rescue and vet care.

Our adoption fee is $200 for an adult dog $225 for a puppy and $150.00 for a GSD over seven years old.

PLEASE FILL IN ALL FIELDS OF THIS FORM!! Incomplete applications will be rejected. If the field does not apply, type "n/a". Required fields are shaded and marked with *.

First and Last Name: *
Spouse/Partner:
Street Address: *
City: *
State: *   ZIP: *
Home Phone: *    Cell Phone:
Email: *      Retype email: *
Are you 18 years of age or older? *    Driver's License State and #: *
Your occupation: *      Place of Employment: *
Your work phone: *
Spouse's occupation:      Spouse's place of employment:
Animal you are interested in:
How many adults in your household? *
How many children? *       Ages of children:
Are all members of your household willing to be responsible for a new pet? YES           NO
Would you say your level of physical activity as a family is: *
Does anyone in your house have allergies?
You live in a *   You *
Is there a fenced yard? *      How high is the fence?
If you rent, may we contact your landlord?:
Landlord's name:      Landlord's number:

How long have you lived at your current address?

Are you moving in the foreseeable future?
If yes, what will happen to the dog?
Please list the cats or dogs you currently own or have owned in the past five years:
Type / Name
Age
Sex
Fixed?
Vaccinations current?
Check for YES only.
If no longer with you, what happened to the pet?
Rabies Other Age-Appropriate Vaccines
 
 
   
   
   
What other animals do you currently own (check all that apply):
Reptiles/Amphibians Bird(s) Ferret(s) "Pocket" pets (rats, mice, hamsters, etc.)
Cows/Cattle/Sheep, etc. Horse(s) Other
Your past/present veterinarian or clinic:

Veterinarian's phone number:

If you do not have a veterinarian yet, where do you plan to take your pet for care?
Please list at least two references and their relationship to you; at least one should not be a family member.
Reference #1 Name: * Relationship to you: *
Reference #1 Phone: *
Reference #2 Name: * Relationship to you: *
Reference #2 Phone: *
Reference #3 Name: Relationship to you:
Reference #3 Phone:

Reason(s) for wanting this pet - please check all that apply:

Companion for self Companion for children Companion for another pet
Gift Protection Pest Control
Hunting/Sports Other - please explain:
Is this your first experience with this breed of dog? *
Please list two or three things you know about German Shepherds: *
Please explain in detail your idea of the GSD that would fit best in your home and elaborate on the reasons why you want to rescue a GSD:
*
Is someone home during the day or will someone be able to come home during the day to exercise the dog? *
Explain:
Where/how will the dog be confined on your property during the day: *
Where/how will the dog be confined on your property during the night: *

Other information that may be relevant with regards to confinement of the dog (doggy day care, etc.):

What arrangements will you make for your pet when you travel or are on vacation? *

Have you used a crate before? *
What books have you read pertaining to training or this breed?
What will you do if the dog develops behavior problems after adoption? *
Is there anything else you would like to add?
How did you hear about us?

"THE INFORMATION I HAVE PROVIDED IN THIS FORM IS TRUE. I understand that any false statements I make may disqualify me from adopting a dog. I understand that New Orleans German Shepherd Rescue retains full interest in any animal I may adopt from them. This means that at any point if I am unable to properly care for the dog as agreed to with this contract, I should contact New Orleans German Shepherd Rescue for their assistance in rehoming the dog. At no point, barring extreme emergency, am I allowed to take any dog I adopt from New Orleans German Shepherd Rescue to any shelter, anywhere."

Type your initials in the box to confirm your understanding. *