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ADOPTION APPLICATION
Please fill this form out as completely as possible as we cannot process incomplete applications.

We require a non-refundable $10.00 processing fee with your application. We will not start processing your application until the fee is received. Upon completion of the application, you will be transferred to a web page with information about our processing fee.

Full name:
 Spouse's name:
Applicant's age:

Address:
City:
County / State:
 Zip:

Email Address:
Home Phone:
 Work Phone:
Other Phone:
 Best time to call:

Occupation:
Spouse Occupation:

Spouse work Phone:

Number of children living in household:
 		Ages of children living in household:
List any other family members living in your household:

How soon are you ready to adopt a dog?

Why do you want to bring a new pet into your home?

Who will take care of the dog on a daily basis?

Have you and your family discussed the time, energy and effort required to properly care for a German Shepherd?

How do you intend to provide socialization (interaction with new people and other dogs) for your new dog?

Are you and your family prepared to assume the financial expenses of owning a German Shepherd -- food, training/obedience lessons, routine medical care, emergency medical care, supplies and grooming?

What type of area do you live in?
 What type of housing do you live in?
Are you planning to move soon?

Do you own or rent your home?

If you rent, you must submit written permission from your landlord stating that you are allowed to have a German Shepherd.
Landlord's name, address, phone:

Do you have a fully fenced yard which is capable of containing a German Shepherd?

If yes, what is the type, height, and material of your fence and gates?


If you utilize an electric fence, it must be a professionally installed fence and the dog must not be left unattended at any time when outside. You must also be trained in its proper use. Proof of professional installation and training must be provided.

What is the size of your fenced or enclosed area?

If you don't have a fence, where and how will the dog be exercised?

Do you have any other pets?

Name Type Age
Sex Spayed/Neutered On Heartworm Preventative
How long owned Where did you get him/her

Name Type Age
Sex Spayed/Neutered On Heartworm Preventative
How long owned Where did you get him/her

Name Type Age
Sex Spayed/Neutered On Heartworm Preventative
How long owned Where did you get him/her

Name Type Age
Sex Spayed/Neutered On Heartworm Preventative
How long owned Where did you get him/her

Name Type Age
Sex Spayed/Neutered On Heartworm Preventative
How long owned Where did you get him/her

Veterinarians name:

Address:

Phone number:
Are vaccinations are done at a location other than vets office?
If yes, please list where the vaccinations are done. We will also need to see written proof of vaccination:

What other pets have you had in the last 10 years?
Please list each pet by name and breed:

What happened to them?

Under what circumstances would you give up a pet?


Have you had a German Shepherd before?

Is there a particular dog on our web site that you are interested in?

Do you have a preference to the sex of the dog?

What age range would you prefer?

What are the three most important characteristics that you would like to see in your new German Shepherd?

Have you taken a dog to professional obedience classes?

All adopters are required to attend professional obedience training with their adopted dog.   Are you willing to take a dog to obedience classes?

Would you like a recommendation for a trainer in your area?

Are you willing to consult a trainer or behaviorist if problems develop?

How many hours a day will the dog be alone?

Where will the dog spend its time while it is alone during the day?

Where will the dog spend its time while it is alone in the evening?

Where will the dog spend its time when you are at home?

Where will the dog sleep at night?
Have you ever used a dog crate?
 Would you be willing to use a crate?

What activities will you and your family participate in with your dog?

If you move, what will you do with your dog?

When you go on vacation, where will your dog go and who will care for it?

Please list the names, addresses, and phone numbers of three personal references that you have known for at least two (2) years and their relationship to you. At least two of your references must not be related to you.
One reference must be a neighbor.   Do not list your veterinarian reference as a personal reference.
To help expedite your application, please note if the phone number is a day or evening phone number.
Please tell us a little about yourself and why you feel you could provide a good home for a rescue dog:

By submitting this application, you acknowledge that you are over the age of 21 and have read, understood and will comply with the Garden State German Shepherd Rescue, Inc. adoption policy.

That all of the information contained in this application is true and accurate. Any misrepresentations of fact may result in the removal of the adopted dog by Garden State German Shepherd Rescue, Inc.

That you understand that an adoption contract is part of the adoption process and will be enforced. Once a dog is adopted, if it is found to be neglected or abused, Garden State German Shepherd Rescue, Inc. reserves the right to reclaim the dog.

I understand that my electronically-generated signature below is valid as a means of legal signature for the purpose of this Adoption Application

Signature of Applicant:

Date:

How are you paying for the application processing fee?

Application does not guarantee approval and adoption.