Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone 1 *

(###)

###

####

Phone 2

(###)

###

####

Do you...(check all that apply) *

Own

Rent

House

Condo

Apartment

Mobile Home

Other

Have you hunted with dogs before? *

Yes

No

What types of dog behaviors are you prepared to work with?

Basic training

Medical needs

Separation issues

Shy or timid behavior

Jumping

Leash walking

Unsocial with other dogs

High Activity Level

Protective behaviors

Other

Have you owned other dogs? *

Yes

No

Have you owned GSPs?

Yes

No

Have you rescued other dogs?

Yes

No

Do you currently have other dogs? *

Yes

No

If YES, are your other dog(s) spayed/neutered? *

Yes

No

Not applicable

Do you have cats? *

Yes

No

Are they declawed?

Yes

No

Some are, some aren't

Do you have other animals? *

Yes

No

If YES, what are they?

Horse

Goat

Bird/Chickens

Pig

Reptile

Other

Would you be interested in attending training classes?

Yes

No

Would you be willing to attend training classes?

Yes

No

Would you be willing to transport for adoption events?

Yes

No

Would you be willing to transport for adoption appointments?

Yes

No

I certify that the information I have provided on this form is true, correct, and accurate. I am financially and physically able to care for the animal that I adopt. I understand and agree that falsification of any of the above information is grounds to disqualify my adoption application and nullify all adoption(s) and/or adoption agreement. I understand that there is no obligation to adopt an animal to me, now or in the future. I understand that my electronically-generated signature below is valid as a means of legal signature for the purpose of this adoption application. (Required) *

I agree