First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

County*

Email*

Home Phone

Work Phone
x

Cell Phone*

Alt Email

What is the applicant's date of birth? (Must be 21 to foster/adopt)*

Please Provide Employer Information Including Name, Address, and Phone Number*

Please list the names, ages and relationship to the applicant of all adults (over 18 years old) and children (under 18 years old) that live full and part time at the address provided on this application.*

Which best describes your current residence?*
Choose one: Own Rent

Are there any community breed/size restrictions? If yes, please describe.*

If you rent, you agree to provide a signed lease agreement and/or a written statement from your landlord stating you can have a German Shepherd Dog on their property.
Choose all that apply: Yes No N/A

Do you have a fenced yard? If so, please detail fence material and height. Are there gates? If yes, can they be easily opened by children or maintenance/utility workers? Please speak to another type of fencing system in place, if any.*

List all other pets (include dogs, cats, ferrets, rabbits) living in your home. Please include breed and age.*

Are all pets currently in your home or that may visit regularly spayed and/or neutered? If not, please explain.*

Have you ever rehomed or given a pet away? If yes, please explain.*

Is your primary interest to adopt from or foster with German Shepherd Rescue, Inc.?*
Choose one: Adopt Foster

Select the age of the dog you would like to adopt/foster. *
Choose one: Puppy (Under 1 year of age) Adolescent (1-2 years of age) Adult (2-5 years of age) Mature Adult (>5 years of age)

What is your gender preference of the dog you would like to adopt or foster?*
Choose one: Female Male No Preference

What guidance and training do you plan to offer a dog in your care? How do you plan to carry out the guidance and training (redirecting mouthiness, leash walking, as examples)?*

Explain how and where the dog will spend its days and nights. How will the dog be contained when home alone? Are you willing to use a crate?*

How will you provide both mental and physical exercise for the dog? *

What qualities of the German Shepherd Dog breed draw you to them as a companion? Are you familiar with the breed? Please explain.*

If you plan to adopt, are you prepared to care for the dog its entire life by providing quality food, shelter and veterinary care and also recognize the financial responsibility tied to the commitment of pet ownership?*

List all dogs for which you may be applying. Please note: The Rescue cannot guarantee placement of any dog in a home. The application process/due diligence must be satisfactorily completed for each applicant, and applications are reviewed in the order received.*

What is your timeframe for wanting to add a foster or adopted dog to your household? Example: ASAP, Within 30 days, etc. If applying to foster only, please list dates for which you will need coverage due to vacation, personal matters, etc. if known.*

Please provide the name, address and phone number of your pet's Veterinary Clinic (Note: you must contact your vet clinic and give consent for a staff member to talk with a German Shepherd Rescue, Inc. volunteer)*