A Bravenet.com Contact Form

Adoption Application for Journey Home GSD Rescue

Please have the following information on hand before you begin to fill out this application: (1) The name & phone number of your current vet (if you have one) and/or any previous vets. (2) The name & phone number of two personal references (people not living in your home and not related to each other).

Your Name *

Co-Applicant (if any)

Email Address *

Best phone number to contact you *

Street Address *

City *

State *

Zip Code *

Does everyone in the household approve of the adoption? * No Yes

Do you own or rent your home? (If you rent your home, you will need to provide a copy of your rental or lease agreement with landlord name and telephone number with the application. Journey Home GSD Rescue contacts all landlords to verify pet policies.) * Own Rent

Do you have a fenced yard? If so, please describe the type and height of the fence. *

Please provide the first name and the age of each person living in your home. *

Please provide the first name and age of frequent visitors (or those that visit 1 or more times a week). *

How will you educate and train the children in appropriate ways to treat and interact with a dog? (This includes both children that live with you or are visiting your home.) *

Does anyone in the household have asthma or allergies to animals? * Yes No

Are there any circumstances which could result in your being unable to take care of this dog? *

Do you have a formal provision for the dog in the event you are no longer able to care for him/her? If not, do you agree to make such provision immediately after adoption? *

What circumstances, in your mind, justify giving away or surrendering a pet? *

Have you ever sold, surrendered, or given away a pet? If yes, please explain: *

Are you aware that GSDs are very active and that they shed year-round? * Yes No

Will you groom the dog yourself? * Yes Yes, but sometimes use a groomer No, I will always use a groomer

Are you familiar with animal control regulations in your area? If so, briefly what are these regulations? *

Do you agree to abide by the animal control regulations in your area? * Yes No

List all animals living with you. Include the following: 1) Name, 2) breed, 3) gender, 4) age, 5) neutered/spayed. *

Please list all animals you have owned in the past 10 years. (Include the following: Name, breed, gender, age, altered, how long did you own the pet, and if the pet is not living please explain their cause of death. ) *

Have you ever lost a pet, had one disappear, or die at an early age, such as dogs dying before age 10? If so, please explain *

Why are you interested in a German Shepherd? *

Describe any prior experience you have with German Shepherds. *

Who will be the primary caregiver? *

Where will the dog be kept during the day and at night? *

How many hours will the dog be left during the day? *

Please tell us about your family, including any special activities in which your dog would be included *

How do you plan to meet your dogs exercise needs? *

What brand of dog food will you use and how much do you expect to spend on dog food per month? (Be aware that GSDs can have sensitivities/allergies to food and may require grain-free food.) *

Have you ever had a dog diagnosed with heartworm? If you currently have a dog, do you keep them on heartworm preventative? *

How much time are you willing to give the dog to adjust to his/her new environment and family? If the dog did not adjust in that timeframe you are willing to give, what would you do? *

Have you ever trained a dog? If so, please explain. *

How do you handle a dog that chews, digs or has other bad habits? *

Please provide the name, address, and phone number of past/current vet(s), including the name of the pet (s) treated. (Please notify your vet that we will be contacting them and give the office permission to release your records to us.) *

Describe your ideal dog (i.e. size, temperament, age, etc). *

If you are interested in a specific dog that is available, what is the name of the dog and why are you interested in him/her? If this dog is unavailable, would you consider another dog from our program? *

Are you willing to work with a dog that is not housetrained? * Yes No

Are you willing to enroll in an obedience class? * Yes No

Please list the top THREE characteristics you are looking for in your new companion in order of importance: *

Knowing that you will be sharing your life with a dog for approximately 10 years or more, are you willing to make a long term commitment to a dog as a family member? (Remember that your dog is totally dependent on you for food, shelter, health, and veterinary care, including heartworm preventative, indoor housing, etc.) * Yes No

Please provide two references (not related to you). Please provide the name, phone number, and your connection to each reference. Personal references cannot be people living in your home and cannot be related to each other. *

Is there any additional information you would like us to know?