Adoption Application
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
-
Month
-
Day
Year
Date
Phone Number
Please enter a valid phone number.
Email
example@example.com
Name of dog(s) you are interested in?
Where do you work ?
How long have you been at your current job ?
Provide two references that are not members of your family
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Do you live in a(n)?
House/Townhouse
Apartment/condo
Rent
Own
If renting do you have your landlords permission to have a dog?
Yes
No
Who shares your household ?
Spouse
Roommate
Boyfriend/ Girlfriend
Children
If yes, how old and how many ?
Does your backyard have a fence ?
Yes
No
If so, how tall?
How many children are in the household?
At what age do you feel children are responsible enough to take care of a pet without assistance? (i.e. walk, feed, train)
If your present relationship/ living situation were to change and you were no longer able to care for the dog, a new application must be submitted and approved in order to transfer ownership. Please sign below
Signature
Have you owned a German Shepherd breed before?
Yes
No
What do you like about the GSD breed ?
How many hours will your dog be left alone?
Where will your dog spend most of his/her day when you are home?
Indoor
Garage
Yard
Indoor/outdoor
Enclosed patio
Is there any other pets in the household
Yes
No
If yes, please list them
How would you discipline your dog if he or she misbehaved/ chewed household items? What method do you intend to use to housetrain your dog?
Who is your current veterinarian ?
Is there anything else you would like to share about with us
I agree to provide my own collar, leash and a personal ID tag at the time of completing the adoption contract.
Agree
Disagree
I agree to pay the non refundable adoption fee of $500 upon completing the adoption process.
Agree
Disagree
I understand that the adoption fee will cover the following: Vaccines, spay/neuter surgery, microchip, basic training, and 1 month of flea/heart worm prevention.
Agree
Disagree
I understand that if for any reason this dog does not work out in my home, that i will contact Houston Shepherd Rescue immediately. I will not give the dog to anyone, nor sell him/her.
Agree
Disagree
I understand that when the pet reaches 6 months of age I need to contact Houston Shepherd Rescue to schedule an appointment to complete the neuter/spay service.If the service is provided by the owner a physical or virtual copy will be required.
Agree
Disagree
Signature
We reserve the right to refuse adoption to any applicant for any reason. This questionnaire becomes part of our contract."
Submit
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