Adoption Application

Please note there are required fields on this form. If they are not completed you will see an error and you will need to fix them or the form will not submit.

  • About You
  • Your Family
  • Your Pets
  • Your References
  • Care & Training
  • Last Section!
First Name (*)
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Last Name (*)
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Spouse/Partner Name
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Street Address (*)
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City (*)
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State (*)
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Zip Code (*)
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Email (*)
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Please retype your email (*)
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Home Phone (*)
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Cell Phone
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Your Occupation (*)
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Place of Employment (*)
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Office Phone (*)
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Spouse/Partner's Occupation
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Spouse/Partner's Place of Employment
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How many adults in your household? (*)
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How many children? (*)
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Children(s) age(s)
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Have you and your family discussed the pros and cons of owning a dog? (*)
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Would you say your level of physical activity as a family is: (*)
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Does anyone in your house have allergies? (*)
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You live in: (*)
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Is there a fenced yard? (*)
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What type of fencing?
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How high is the fence?
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Approximate size of the fenced area of your yard. (*)
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If you rent, please supply us with your landlord's contact name and phone number.
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How long have you lived at this address? (*)
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Are you moving in the forseable future? (*)
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If yes, what will happen to the dog?
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Pet 1 Type
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Pet 1 Age
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Pet 1 Sex
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Spayed/Neutered?
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Pet 1 current on (select all that apply)
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What happend to the pet if no longer with you?
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Pet 2 Type
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Pet 2 Age
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Pet 2 Sex
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Spayed/Neutered?
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Pet 2 current on (select all that apply)
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What happend to the pet if no longer with you?
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Pet 3 Type
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Pet 3 Age
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Pet 3 Sex
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Spayed/Neutered?
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Pet 3 current on (select all that apply)
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What happend to the pet if no longer with you?
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What other pets do you have?
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Current/most recent veterinarian/clinic
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Current/most recent veterinarian/clinic phone
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If you do not currently have a vet, where do you plan to take your new pet?
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Reference #1 (*)
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Reference #2 (*)
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Reference #3 (*)
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Reason(s) for wanting this pet - please check all that apply: (*)
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Have you ever owned a German Shepherd before? (*)
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Please list two or three things you know about German Shepherds specifically: (*)
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Please explain in detail your idea of the German Shepherd that would fit best in your home and elaborate on the reasons why you want to rescue a German Shepherd. (*)
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Is someone home during the day or will someone be able to come home during the day to exercise the dog? (*)
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Details
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Where/how will the dog be confined on your property during the day: (*)
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Where/how will the dog be confined on your property during the night: (*)
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Other information that may be relevant with regards to confinement of the dog (doggy day care, etc.):
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What arrangements will you make for your pet when you travel or are on vacation? (*)
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Have you used a crate before?
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What books have you read pertaining to this breed, or the care and training of dogs in general?
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What will you do if the dog develops behavior problems after adoption? (*)
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Are you interested in a particular dog(s) from our current list - if so please list name(s) here.
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Do you have a prefence of the sex of the dog? (*)
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What size do you want your dog to be when fully grown? (*)
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Do you have preferences for the color of your dog?
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Do you have a preference for the age of your dog?
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Alternate size, weight, color preferences - please describe.
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Whom is the dog for? (*)
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What expectations do you have for this dog? (*)
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Please describe any specific traits you are looking for in an adoptive dog. (*)
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Why would you choose rescue over buying? (*)
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From your perspective, what are the pros and cons of owning a dog? (*)
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Are there any circumstances under which you would give up a dog? Please explain. (*)
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Have you ever given away, sold or surrendered a dog before and why? (*)
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Do you and your family understand that owning a dog requires a lot of energy if the dog is to be properly cared for? (*)
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Is there anything else you would like to add?
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How did you hear about us? (This will help our marketing so please answer.)
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If you had a referral from a friend or a group, please let us know who it was:
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Type your initials in the box to confirm your understanding. (*)
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Please type in the words you see.
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