We are so SORRY. . .
Our Adoption Application form is "out of order". For now this is our best effort.
I'm afraid you'll have to cut and paste the text below into an email message. Fill it out in your email and send it off to us. . . . "sorry". Cutting & Pasting 101 is below if you need any help
German Shepherd & All Breed Rescue - Located in Lake County, Ohio
ADOPTION APPLICATION
We are dedicated to the care of the available dogs and
to finding these dogs the best homes we can. In order to help us match the
right dog to your lifestyle and family, please take the time to complete this
application.
Your answers will assist us in matching our dogs needs with your lifestyle and preferences. Once we receive your completed application, we will review it, and when approved, you will be contacted with available dogs for your consideration. Please be as ACCURATE and COMPLETE as possible in providing this information.
By this application, we
consider you to be seriously interested in adopting a German Shepherd Dog and
making that dog a part of your family.
Please understand that matching the right dog to your situation and meeting the
specifications you have indicated may take some time. we are hopeful that you
will continue to keep us updated about your circumstances and, if you are no
longer interested in adopting, will advise us accordingly. This GERMAN SHEPHERD
RESCUE is staffed by 2 volunteers we donate our time and energy out of love for
the dogs. We will work diligently to find the dog who will best fit your
circumstances; we simply request your patience, understanding and cooperation.
Thank you,
Email this form with your answers to adopt@dogshope.com
Today's Date:
Your FULL Name:Address:
City:
State:
Zipcode:
Work phone :
Home phone:
Email address:
1a. Do you have any preference as to the sex of your new German Shepherd?
Please "X" one.
___Male
___Female
___No Preference
1b. Would consider a German Shepherd Mix?____ Yes
____ No
____ Prefer Mix
2. Do you have any preference as to the color of your new German
Shepherd?
___ Yes
___ No
___Puppy only (under 6 months)
___ Young Adult (6 mos. - 3 yrs)
___Adult (3 - 6 yrs)
___Senior (7 - up)
___Any Age
___Active
___playful
___ independent
___protective
___dominant
___shy/docile
___good with kids
___calm
___ intelligent
___loving
___aggressive
___submissive
___outgoing/friendly
___good with other pets
___other (please explain):
5. GERMAN SHEPHERD RESCUE recommends that, to facilitate the bonding process, each new German Shepherd dog should attend some introductory "obedience training" classes. Would a formal obedience training program be something that you, as a new owner would be interested in? (if No, please provide a brief explanation)
___Yes
___No
Explain:
6. Regarding your current residence, do you:
___own a single home
___rent a single home
___own a condo/townhouse
___rent/lease a condo/townhouse/apartment
If you rent or lease please include your landlord's name & phone number.
___Yes (what kind of fence?) __________________
___No
8. a) If you do not have a fenced yard, do you have access to a fenced area?
___Yes
___No
b) explain how you will provide for the dog's exercise:__________________________
c) will your new dog live inside or outside? ____________9a. Approximately how many hours each day do you anticipate that your new German Shepherd Dog will be home alone? Please check only one.
___Three hours or less.
___More than three hours, but less than six hours.
___More than six hours, but less than eight hours.
___More than eight hours, but less than twelve hours.
___More than twelve hours, but less than eighteen hours.
9b. Where will your new dog be kept when you are not home? _________________________________9c. Where will your new dog sleep at night? _________________________________________________
10. If you checked more than six hours or longer in the question above, what provisions will you make for the dog to relieve itself and get exercise during your absence?
Explain: ________________
11. How many adults live in your home? _______
12. How many children live in your home? ______
Children's Ages & sex: ____________________________
13. What other pets do you currently have?
Dog Name: ________
age: __ sex:___
spay/neuter Yes____ No_____
Dog Name: ________
age: __ sex:___
spay/neuter Yes____ No_____
Cat Name: ________age: __ sex:___
spay/neuter Yes____ No_____
Cat Name: ________age: __ sex:___
spay/neuter Yes____ No_____
Other pets, please list ALL:____________________________________________
14. Have you owned a German Shepherd before? (For those wanting to adopt a Shepherd)
If yes, please provide us with a brief history about that dog(s),
ie. Name, sex,
Reason you no longer have:___________
15. Have you owned ANY other dogs in the past ten (5) years other than those currently living in your home listed in Questions 13 & 14?
___No
___Yes
Dog Name: ________
age: __ sex:___
spay/neuter Yes____ No_____
Please explain what happened to all previously owned pets and the circumstances
(I.e.: died from ____________,
gave away because _________,
etc..) ________________
____No ____ Yes: Please provide the following information:
Practice Name _________
Doctor's Name: ________
PHONE NUMBER with area code ( ) ______ - ___________
Street Address __________
City,________ State ___Length of time you've been going to this veterinary hosp/clinic __________ (If 1 year or less,
please include your previous veterinarian with phone number)
Previous Practice Name: ______________
Phone Number: ______________
17. If you currently own a dog, is your dog current on Heartworm
medication?
___ Yes
____No (if no, explain) ________
18. Are ALL your pets current on all vaccinations?
___ Yes
___ No (if no, explain) _________
19. What is your occupation? Please provide the following information:
Employers name ___________
address, ____________
phone number including area code: _(____)______
how long employed there ___
20. What is your spouse's occupation? Please provide the following information: Employer's name, address phone number including area code how long employed there
21. Please list the name, address and phone numbers (with area code)
of three (3) personal references, other than your veterinarian
____________________
____________________
____________________
22. How did you find out about us?
___Vet (name) ______________
___Shelter (name)____________
___ Pet store (which)__________
___ Internet (site) ____________
___Fund raiser (where)_________
___Newspaper (which) _________
___Friend (name) _____________
___Other (explain______________
Are you willing to sign, and be bound by, such a contract? ___Yes
___No
I/we have read and carefully answered each question on this Adoption Application and have provided truthful answers. I/We understand that GERMAN SHEPHERD RESCUE will rely on the answers we have provided in going forward with the adoption process and, in the event that GERMAN SHEPHERD RESCUE learns that false information has been given, we may be denied the right to adopt a dog and/or any dog placed in our care by GERMAN SHEPHERD RESCUE may be required to be returned to GERMAN SHEPHERD RESCUE.
Adopter's signature
______________________________________
Adopter's signature
Second-hand dogs make first class friends!
If you have any comments, questions or concerns about adopting a rescued German Shepherd Dog or about us, please contact me. We are always interested in comments and suggestions and are open to new viewpoints!
Cutting & Pasting 101, If you are unsure how to put this into an email for us here are some tips:
On your keyboard type the [Ctrl key] and the [A] - (the text should all be "highlighted") Now type the [Ctrl key] and the [C] - (Nothing happened right? just wait)
Ok, now go to your email and compose a new message. Click your mouse in the BODY of the email (where you'd type your letter) and now type [Ctrl key] and the [V] (is it there?)
After all that. . . Don't forget to fill it out and send it off to adopt@dogshope.com