Adoption Form

Name*

First Last

Address*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code

Home Phone Number*

Mobile Phone Number*

Email Address*

DOB (Applicant 1)*

DOB (Applicant 2)

Do you own your property?*

If rented you must have written permission to keep dog/s at property, this must be shown at home check

Please give further details*

Type of property:*

How long have you lived at this property?*

Please give details

Garden area:*

Garden area - Please give further details*

Work - Adult 1:*

Work - Adult 2:

How long would the dog be left for:*

How would you manage dog care whilst working?*

Do you currently have a dog?*

Is resident dog/s spayed or neutered?*

Please give further details*

Is resident dog/s in date for vaccination?*

Please give further details*

Is resident dog/s insured?*

Please give further details*

Do you have GSD experience?*

Please give further details*

Have you owned a rescue dog before?*

Please give further details*

Have you been home checked by another dog rescue in the last 12 months?*

Please give further details*

Have you experience of any behavioural issues with a dog before?*

Please give further details*

Any other pets in the home?*

Please give further details*

Do you have children or do children visit?*

Please give further details*

Would a dog live in your home?*

Please give further details*

Where & how often do you plan to walk your dog?*

Please give further details

Do you have a vehicle to transport your dog to vets etc?*

What would you do at holiday times?*

Do you prefer a dog or bitch?

Would you consider adopting a GSD cross breed?*

Is there a colour you wouldn’t take?*

Please give further details*

What age range would you prefer?*

Applicants ages and experience may affect age / type of dog GSRS will consider placing with you. Please give further details

At the time of adoption if dog was entire, you agree to pay to have it spayed / neutered iaw adoption criteria?*

Are you registered with a vet?*

Please give further details*

Additional info you may wish to include:*

Please give further details

Email

This field is for validation purposes and should be left unchanged.

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