Download Application Adoption Application Adoption Application Form Personal Information First Name * Last Name * Age * Spouse/Partner/Significant Other Age Address * Address Address Address City City State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province Zip/Postal Zip/Postal How long have you lived at this address? * Email Address * Home Phone Your Employer Employer Phone Spouse’s Employer Spouse’s Employer Phone Children 0 Ages 0-1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18+ Please indicate which best describes your current living situation ▾ * HouseCondo/ApartmentMobile Home * OwnRentLive with Parents *We only adopt to individuals that own their homes. We look forward to hearing from you when your situation changes*. * CitySuburbanCountry Is everyone in your household in agreement on adopting a German Shepherd dog? * Yes No If not, who & why? If less than two years, please list your previous addresses for the past five years: Besides your immediate family, are there others residing in your home? Yes No If so, Names | Ages Does your home have a yard? * Yes No Is there a fence? * Yes No What type of fence? Height of Fence: Is the fence secured underground as well? Yes No By what means? How much time will the dog spend outside? * 0-1 Hours1-2 Hours2-3 Hours3-4 Hours4-5 Hours5-6 Hours6-7 Hours7-8 Hours8+ Hours Adoption Information ▾ Is someone home during the day? * Yes No How long/how often will the dog be alone? * 0-1 Hours1-2 Hours2-3 Hours3-4 Hours4-5 Hours5-6 Hours6-7 Hours7-8 Hours8+ Hours Where will the dog stay while you are gone? * In-HouseOutsideBasementOther Where will your dog be kept most of the time? * In-HouseOutsideBasementOther Do you agree to spay/neuter this dog if it has not already been done? * Yes No Will you take your dog to obedience class? * Yes No If yes, which trainer will you use? Have you ever owned a German Shepherd Dog? * Yes No Where is that German Shepherd Dog now? Do you prefer a male or female German Shepherd Dog? * No PreferenceMaleFemale Is there a dog on the website you are interested in? Will the German Shepherd be used as a guard dog? * Yes No How many years do you plan to keep the dog? * 0-11-22-33-44-55-66-77-88-99-10Lifetime Why do you want a German Shepherd Dog? * What other activities do you plan to do with your German Shepherd? * Under what circumstances would you give up your dog? * OTHER PET INFORMATION ▾ Do you have other pets? * YesNo Type CatDogBothOther Are your other pets current on all vaccinations? YesNo List breed, age, sex of each pet: Are your other pets spayed/neutered? YesNo Are your animals on heartworm preventative? YesNo What type? Are you willing to continue monthly heartworm preventative with a new pet? YesNo Are your other pets spayed/neutered? YesNo Veterinarian’s Name and Phone Number: Name that animals are listed under at this veterinarian’s office (pet’s and owner’s name): Approximately when was your current pet’s last office visit? List the pets you have owned in the past ten (10) years and what happened to each of them: Current Vet Records ▾ I've called my current vet and released permission for them to talk to GSRFL about my current and/or past animals. How did you hear of GSRFL? List any Humane Societies, Organizations, Breed or Training Clubs you are associated with: We will attempt to provide you with an honest evaluation of temperament on any dog we have to place. Do you realize that frequently the complete history of a German Shepherd Dog may not be known and that you may encounter some behavioral problems? Are you willing to work with us to correct these problems Yes No Please provide the names and phone numbers of three references, including two non-relatives. ▾ * * Is this person related to you? * Yes No * * Is this person related to you? * Yes No * * Is this person related to you? * Yes No Additional Comments: I/We certify that the information provided on this form is true and correct. I/We (am) (are) also financially and physically able to care for this animal. I/We understand that proper food and veterinary care can be costly and I/We (am) (are) able to meet these requirements. I/We understand that home checks are made on a random basis prior to and following adoption and that, if upon inspection, GSRFL finds the information contained in this application to be false, the application will be denied. Should I/We have received an animal from GSRFL, all right, title, and interest in and to such animal will revert to the organization and I/We agree to immediately surrender same without a refund of monies paid. GSRFL shall have the right to enter my/our premises for the purpose of removing said animal. I/We agree that GSRFL may contact persons/entities including but not limited to those listed herein for additional information. CAPTCHA Submit If you are human, leave this field blank. Download Application
