Dog Adoption Application

Sumitting this application does not mean you are commiting to a dog, nor does it guarantee you will get that dog. It is simply a tool we use to help both you and us identify a good potential match for your family and lifestyle to ensure a sucessful rehoming. We may or may not contact you after submitting this application.

A successful adoption depends on selecting the right dog for the right household and a good understanding of the dog's needs and care requirements. Please help us with this process by answering the following questions fully, completely and honestly. Our standard adoption fees are $350 for adult dogs and $500 for puppies (1 year old and under). The application fee is $25 NON-REFUNDABLE. Thank you!

Are you aware that most rescue dogs are not perfect and might have unwanted traits or behaviors including aggression and fearfulness?

Yes

I was not aware

The average cost of a trainer is between $1000 to $2000 for a two week board and train. Are you willing to work with a trainer if the dog has any issues that may require training?

YesNo

Name of the dog you want to adopt or description.

Adopter's Name* This field is required.

First & Last Name

Co-Adopter's Name

First & Last Name

Address* This field is required.

Street Address

City

State

Zip Code

Country

Adopter's E-mail* This field is required.

Co-Adopter's E-mail

Phone Number* This field is required.

Area Code

Phone Number

Phone Type* This field is required.

Cell

Home

Work

Names and ages of all permanent residents of your home (adults/children)* This field is required.EX: Mary 35, John 37, Matthew 11.

Do you currently have any pets?* This field is required.

Yes

If you currently have pets, please list them below. (Age, breed, sex)

Are your current pets altered?

Yes

If your current pets are not altered, please explain why below.

Vet reference (please call your vet and give permission to release information to us if applicable)* This field is required.

Vet name, address & phone number

Two Personal References* This field is required.

When will you be ready to adopt this dog?* This field is required.

Today

This weekend

Within a week

Within a month

Not ready yet, just researching

Is anyone in your home allergic to dogs?* This field is required.

Yes

Does anyone in your home fear dogs?* This field is required.

Yes

Are you familiar with dog regulations in your area?* This field is required.

Yes

If you answered no to the question above, please contact your town/county/condo assoc and ask them what the regulations are.

I/We live in a* This field is required.

Single Family Home

Duplex/Twin

Condo/Townhome

Trailer

Apartment

Do you rent or own this property?* This field is required.

Rent

Own

Renters, have you contacted your landlord to find out if there's any restrictions on the kind or size of dog you can have?

Yes

Not yet, but I will

It's written in our lease

If you rent, you must show us a written letter from your landlord or a copy of the section of your lease stating that you are allowed to have dogs and showing any limitations.

If you live in a condo or townhome, you must show us written proof that you are allowed to have a dog there and show any restrictions.

Approximate square footage of your home* This field is required.

Less than 800 square feet

800-1,000 square feet

1,000-1,500 square feet

1,500-2,000 square feet

Over 2,000 square feet

Do you have a yard?* This field is required.

Yard, fenced with a vertical fence

Yard, fenced with invisible fencing

Yard, no fence

No yard (apartment/condo/townhome)

Approximate dimensions of your lot:* This field is required.

Annual Household Income* This field is required.

Under $20,000

$20,000-$30,000

$30,001-$50,000

$50,001-$70,000

$70,001 or higher

Do you work outside the home?* This field is required.

Yes

One applicant is home/works from home

We work different shifts

How many hours per day will this dog be alone? Please explain.* This field is required.

Have you discussed this adoption with all members of your household?* This field is required.

Yes

Yes, adults have discussed. Kids don't know yet.

We will be speaking to all adult residents to confirm everyone is aware of this application process and wants to have a dog added to the family. Please do not submit this application if you are "trying to talk someone into" adopting this dog or think "once they meet the dog, they will want one" or "I'm getting this dog as a surprise birthday present for them." In those scenarios, you are welcome to email us to discuss the dog, but we would like all adults in the home to be involved in that email discussion.

Based on the description in the dog's bio, do you feel pretty confident that you will be likely to adopt this dog upon meeting it?

Yes

Not sure

Upon meeting the dog, what would give you cause to not want to adopt it? Please explain.* This field is required.

Fantasy question: What would your dream dog be like? (If this dog is not a fit, we may be able to recommend another based on what you say here.)* This field is required.

How much do you feel you can reasonably afford and would be willing to spend on your dog per year (for things like veterinary care, licensing, ID tag, food, toys, crate, other supplies, training, pet sitting, etc)? * This field is required.

What activity/energy level do you prefer?* This field is required.

Wild and crazy is cool

Leash trained daily jogging partner would be excellent

Medium energy, plays a bit then hangs out with you

Low energy, walks slowly on leash, a total couch potato

Other

Please check all that apply. I want to adopt this dog...* This field is required.

As a family pet

To breed with my dog

To train/use for hunting

To train/use for agility

To train/use as a therapy dog

To train/use as an assistance dog for the disabled

To use as a protection dog

For a jogging/hiking partner

To interact with lots of friends/family

As a gift for a friend, partner, or family member

As a companion for my dog(s)

As a companion for my cat(s)

As a companion for my child/children

Please check all that apply. My adopted dog will...

Be kept outside most of the time

Be kept indoors most of the time

Be left outside during the work day while we are away

Be kept inside while we are away

Be crated when we are not home

Have free reign of the house when we are not home

Be taken to formal obedience classes

Be trained by me/us

Take frequent car rides with us

Be kept on a lead line/cable in the yard

Be mostly interacting with adults

Be interacting frequently with children under 8

Be interacting frequently with older children

Must be housebroken prior to adoption

Will be housetrained by us

Will be walked more than one mile per day every day

Will be walked occasionally

Be attending formal group obedience classes with us

Be trained by us without the advice of a trainer

Have private sessions with a trainer as needed

Be attending agility classes

Be taking frequent car rides/trips with us

Be boarded when we go on vacation

Stay with family when we go on vacation

Be given away to someone else if we feel it's not a good match for us

Be turned in to a shelter if we can't keep it

Be going camping with us

Be going on boat trips with us

Be outside with a dog house in a fenced area

Be outside chained/tethered to a dog house

Be free roaming on the farm (unfenced)

Other

Please take time to think about this question, be honest with yourself and us when answering this question. What are you absolutely NOT willing to deal with at the time of adoption or at any time during the life of the dog? This will TREMENDOUSLY help us with the adoption process and selecting the right dog.* This field is required.

Housebreaking

Chewing

Jumping

Pulling on leash during walks

Counter surfing

Fear of men

Fear of women

Fear of children

Mouthiness (may sometimes snag your hand or arm instead of the toy in play and will need redirection/training)

Growling

Barking

Rough play with my dog

High activity level

Food/toy aggression/not willing to share with other dogs

Food/toy aggression with people

Whining/crying

Counter surfing

Blindness

Limited Sight

Deafness

Separation Anxiety

Diabetes

Special Diet

Long Term Medication

Incontinence / Leaking Urine

Taking classes with the dog

Gets stressed/carsick when riding in vehicle

Doesn't know how to climb stairs

Can't climb stairs due to age/arthritis/health issues

Heart condition

Skin allergies

Food allergies

Trimming nails

Yeast on coat or in ears

Ear mites

Fleas

Ticks

Heartworm preventative

Annual heartworm/lyme combo testing

I will do whatever it takes to help this dog adjust and work with a trainer to help resolve any training needs.

Other

What would cause you to return a dog?* This field is required.

What do you feel is a reasonable amount of time for a dog to adjust to life with you/your family?* This field is required.

How do you plan to integrate this dog into your family?* This field is required.

What would you do if you discovered after adoption (at any time during the life of the dog) if your vet diagnosed an expensive health condition?* This field is required.

Do you plan to get pet health insurance?* This field is required.

Yes

I wasn't aware this was available. I will look into it.

Grooming (please check all that apply)* This field is required.

We use a professional groomer

We trim dog nails ourselves at home

We bathe our dogs at home once a week

We bathe our dogs at home once a month

We bathe our dogs at home once every few months or whenever their coat feels dirty

We bathe our dog twice a year

We don't bathe our dog

We check ears weekly for infection/yeast/mites

We check coat daily for ticks in spring/summer/fall

We clean teeth using home methods

We take our dogs to the vet for dentals whenever the vet recommends this is needed

Prefer a dog that doesn't shed

Don't care about shedding

Do you plan to take formal obedience classes?* This field is required.

Yes

Do you have any additional comments, questions or concerns? Anything else you would like us to know to help match you up to a dog?* This field is required.

I understand that completing this application does not guarantee I will be allowed to adopt a dog, and that the application is a tool to help German Shepherd Rescue Ohio determine if this dog and my family are a good fit for each other. I acknowledge that all information provided on this form is true and correct. I understand that any misrepresentations may result in my not being approved and/or removal of the adopted dog from my possession. I also certify that I have never been convicted of animal cruelty or neglect.

I agree to allow a representative from German Shepherd Rescue Ohio to contact my vet for a reference and also agree to allowing a home visit prior to adopting this dog. If I am approved to adopt a dog, I agree to pay a non-refundable adoption fee and hand sign an adoption contract at the time of adoption.

Do you understand and agree with the statement above?* This field is required.

I/We have read and understand all of the above.

I have a question

Applicant's Signature* This field is required.

Co-Applicant's Signature

Signature date* This field is required.

Email us with any questions:

Contact:

mitchell@christiank9.com

Renters: Please send a copy of the pet section of your lease or a landlord pet permission letter to the email address above.

German Shepherd Rescue reserves the right to reject any application based on information obtained during this screening process. Please understand that our primary goal is the health, happiness, and safety of our rescued dogs.

NOTE: Please look out for phone calls coming from a "614" and "513" area code.

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Dog Adoption Application