^{NOBLE SHEPHERD RESCUE}

I am applying to: Adopt Foster

Today's date:

How did you hear about us:      Petfinder Paw Prints Magazine Internet Search Pets911 Greenville Online Friend or Relative Dog Living Magazine Other

Have you applied with any other organizations for adoption at this time?  Yes     No   

If yes, name of organization, as many of us share information and this may help speed this process.

Please provide the following contact information:

First Name
Last Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work Phone
Home Phone
E-mail

Name of pet(s) you are interested in: 

How many adults in the home? 

What is your marital status? 

How many children in the home? 

If children, please list ages: 

Do children visit your home?  Yes No

If children visit home, list ages and frequency: 

Is everyone in the household in agreement on adding a dog to the family?  Yes No

Have you ever owned a German Shepherd Dog before?  Yes No 
If yes, please provide a brief history about the dog:

Have you had any pets in the past 5 years (including non-canine)?  Yes No
If yes, please provide the following: Name, age, species/breed, sex, spayed/neutered, alive/deceased.
If listed as deceased, please explain the circumstances:

Does anyone in your household have known allergies to dogs?   Yes No
If yes, please explain:

What type of food do you plan on feeding your new dog:

Have you ever turned an animal into the animal shelter?   Yes No
If yes, please explain:

How much time are you prepared to allow your new pet adjust to your home?

Are you willing to take the time to work with a dog on housebreaking or chewing if such a problem arises?
Yes
No

Do you have a gender preference for your new German Shepherd?
Male
Female
Either

Do you have a preference of color? You may choose more than one:
White Black Black & Tan Any color

Would you consider adopting or fostering a mixed breed German Shepherd? Yes No      

Would you consider adopting or fostering a dog that has been abused? Yes No    

Would you consider adopting or fostering a dog with special needs?  Yes No     

Would you consider adopting or fostering a senior German Shepherd?  Yes No
If not, enter the desired age for your new dog: 

Who will be the primary caretaker of your dog? 
Approximately how many hours a day will your German Shepherd be home alone? 
Where will the dog be kept during the day and where will they be kept at night?

What is the longest duration your pet will be left outside unattended?
      

How often do you travel?

When you travel, who will care for the dog?

How will you transport the dog?

Home residence - do you:  Own   Rent

How long have you lived at this address? 

If less than 5 years, please list all prior addresses within the past 5 years:

If you have rented during the last 5 years, or are currently renting, please list the landlord information for all 5 years including telephone numbers:

What type of environment do you live in?  City   Country

Are there restrictions as to the number, size, or breed of dogs allowed in your neighborhood or community?  

What size yard do you have? 

Does your residence have a fence?  Yes No
If yes, what height and kind of material is the fence?

Do you currently have a veterinarian?  Yes No
If so, please provide their contact info:

Name
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX

How long have you been going to this vet? 

If you have been using this vet for less than one year, please list contact info for previous vet:

If you currently own a dog, are they currently on heartworm medicine? Yes No
If not on heartworm, please explain: 

Are all pets current on all vaccinations?  Yes No
If not current on all vaccinations, please explain: 

 Personal Reference 2:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone

 Personal Reference 3:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone

 

What are the characteristics of your ideal pet?


Additional comments that you feel will help us determine the most suitable dog for your family and lifestyle:


 

As a part of the adoption process and before placing any dog, you will be asked to sign a contract in which you agree to certain conditions, such as allowing a Noble Shepherd Rescue agent to visit your home prior to and after placement of the dog and surrender back to Noble Shepherd Rescue the dog if you violate the contract or are unable to keep the dog for any reason.

Are you willing to sign and be bound by such a contract?  Yes No

Each adoption home requires vet references to be called, personal references to be called, and also a home visit to be done with all family members present.

 Are you in agreement to this?   Yes No

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