Name
*
First Name
Last Name
Occupation
*
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
How long have you lived at this address?
*
Phone
*
(###)
###
####
Secondary Phone
(###)
###
####
Best time to call?
Email
*
How many adults are there in your family? And their relationship to you.
*
How many children? Ages?
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What type of home do you live in?
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Single Family
Townhome
Apartment
Farm
Other
If other, please explain.
Please describe your household.
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Active
Noisy
Quiet
Average
Does anyone in the family have a known allergy to dogs?
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Yes
No
Is everyone in agreement with the decision to adopt a dog?
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Yes
No
Do you have time to provide adequate love and attention? Please explain.
*
What other pets do you have?
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Specify number of pets, types, and ages.
Are there any aggression issues?
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Yes
No
N/A
If yes, please explain.
Are these pets up-to-date on their vaccines?
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Yes
No
N/A
Are these pets spayed/neutered?
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Yes
No
N/A
If no, please explain.
Have you ever surrendered a pet? If yes, why?
*
Have you ever had a pet euthanized? If yes, why?
*
Have you ever lost a pet to an accident?
*
How do you discipline your pets and why?
*
Do you have a regular Veterinarian?
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Yes
No
Veterinarian's Name
*
Clinic Name
*
Clinic Address
*
Clinic Phone #
*
(###)
###
####
What is your idea of an ideal dog and why?
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Desired age and size?
Desired breed?
Breed you would not adopt?
Willing to adopt:
*
Select all that apply.
Outgoing/Hyper
Needs regular medication
Needs regular grooming
Shy
Needs training
None of these
Where will the dog spend most of the day?
*
Where will the dog spend most of the night?
*
Number of hours, on average, the dog will spend alone?
*
Number of hours, on average, the dog will be crated?
*
Who will have primary responsibility for this dog's daily care?
*
Who will have financial responsibility for this dog?
*
Do you agree to provide regular health care by a Licensed Veterinarian?
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Yes
No
Do you agree to keep the dog as an indoor dog?
*
Yes
No
Do you agree to contact Saving Shepherds Rescue if you can no longer keep this dog?
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Yes
No
Are you willing to let a representative of Saving Shepherds Rescue visit your home by appointment?
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Yes
No
How did you hear about Saving Shepherds Rescue?
*
Facebook
Our Website
Friend/Family
Google Search
Other
If other, please explain.
ALL PUPPIES must be altered by 6-8 months of age, proof must be sent to Saving Shepherds Rescue. If your vet wants to wait for a year old, which some do, please send that into the rescue. As we mostly do German Shepherds and mixes of them, I am also requiring them to attend an accredited training program. That can be puppy preschool, beginning obedience etc. This is also to be done in the first 6 months of adoption!! An unsocialized, untrained dog is what most people reach out for me to rehome. This is because they were not trained or socialized when young, for a German Shepherd this is an absolute MUST!!. I work with several trainers in different areas that will offer a refund for pups adopted from me. We can discuss those depending on where you live. I will also discuss other options with you if needed. ANY OR ALL failure of the above will result in surrender of the animal back to the rescue, with no refund given.
*
Type your name below to agree to the above statement.
First Name
Last Name
Personal References
*
Please list someone who is familiar with both you and your pets. Include their name, phone #, address, and relationship to you.
All of the information I have given is true and complete. This dog will reside in my home as a pet. I will provide it with quality dog food, plenty of fresh water, indoor shelter, affection, annual physical examinations and vaccinations under the supervision of a Licensed Veterinarian.
*
Type your name below to agree to the above statement.
First Name
Last Name