About You

Name*:
Address*:
City*:
State:	CA · We only adopt to homes in Southern California.
Zip*:
Email*:
Phone:	Home*: Include area code Work: Best time to call:
Occupation:

Would you like to be added to our mailing list?
Yes No

How soon will you be ready to adopt a dog?
Now Next 1-2 Months Next 3-4 Months don't know

Who is the dog for?
Self
Spouse
Significant Other
Children
Other (please specify):

Are there any children in the home now?
Yes No
If so, please list their ages:

Do you plan to have children in the home in the future?
No Yes
If so, please explain:

What is the activity level in the home?
Low Medium High

Does anyone in the home have allergies?
Yes No
If so, please explain:

Does anyone in the home have medical conditions or physical limitations that might cause difficulty in caring for or living with a large, strong dog?
Yes No
If so, please explain:

Who will take care of the dog:
On a daily basis?
When you go out of town?
If you were to become sick, injured, or unable to care for the dog?
What is the daily caretaker's age?

Have you owned a German Shepherd before?
Yes No
If so, please tell us about your experience with the breed:

Have you ever adopted a German Shepherd before?
Yes No
If so, please tell us about your experience with the adoption:

Why do you want to adopt a German Shepherd at this time?

What are your plans for the dog (check all that apply)?
Companion pet
Protective family dog
Guard dog
Breeding
Obedience/agility work
Search/rescue
Other (please specify):

How did you hear about our organization?

About your home

Do you live in a:
House Condo/Townhouse Apartment
Other (please specify):

Do you:
Own Rent
If you rent, please provide the phone number of your landlord
(including area code):

How long have you lived at this address:

If you had to move for any reason, would you bring your dogs with you?
Yes No

Do you have a doggy door?
Yes No

Is your home safe for a large-breed dog?
Yes No

Is your backyard fenced?
Yes
No
What type of fencing?
brick
stucco
wood
chain-link
wrought iron
Other (please specify):

What is the height of the fence at the lowest point (in feet)?

What is the height of the gate at the lowest point (in feet)?

Do you have locks on your gates?
Yes No

Do you have a swimming pool?
Yes No
If so, is the pool fenced?
Yes No

Where will the dog be kept?
Indoors Outdoors Both

Will the dog be restricted to any part of the home or yard?

Is anyone home during the day? Yes No

How many hours will the dog be left alone?
Where will the dog be left while alone (specifically)?
Where will the dog sleep at night (specifically)?

How will the dog spend it's day:

We reserve the right to inspect all homes and yards prior to approving any adoption, or following any adoption. Is this okay?
Yes No
If not, please explain:

About your other pets

Please list any pets that you currently have in your household:

Pet 1:	Name: Type: Sex: Male Female Age: How long owned: Is this pet spayed or neutered? No Yes Will this pet get along with a new dog? No Yes Comments:
Pet 2:	Name: Type: Sex: Male Female Age: How long owned: Is this pet spayed or neutered? No Yes Will this pet get along with a new dog? No Yes Comments:
Pet 3:	Name: Type: Sex: Male Female Age: How long owned: Is this pet spayed or neutered? No Yes Will this pet get along with a new dog? No Yes Comments:

Do you have any small dogs, cats, or birds?
Yes No

If you do not have any pets at this time, please tell us what happened to your last pet:

Do you have a veterinarian?
Yes No
Veterinarian's name:
Phone number (including area code):

Are you willing to take the dog to the veterinarian if it were to become sick or injured, and for annual exams?
Yes No

Have you ever given a pet away?
Yes No
Is so, please explain:

Under what circumstances would you give up your pet?

Have you ever taken a dog through obedience training?
Yes No

Are you willing to take your dog to obedience training?
Yes No

Are you willing to consult a trainer or behaviorist if problems developed?
Yes No

What behavioral or medical problems do you feel that you cannot deal with in a dog?

How much time will you and your family be able to spend with the dog each day?

What type of exercise do you plan to give this dog?
Walk on leash
Walk off leash
Jogging
Hiking
Dog park
Playing in backyard
None
Other:

About the Dog

Please list the names of any specific dog(s) that you are interested in meeting:

Age range:
Newborn (under 2 mths)
Puppy (2 to 8 mths)
Adolescent (8 mths to 2 yrs)
Adult (2 to 6 yrs)
Senior (over 6 yrs)
No preference

Sex:
Male Female No preference

Color preferences (if any):

Other desired qualities or traits:

Are you aware that German Shepherds:

	Can chew?
	Can dig?
	Can bark?
	Can be provoked to be aggressive?
	Can jump over fences and gates?
	Can chase cats, birds or small dogs?
	Can play too roughly with small children?
	Can be possessive of food, treats, and toys?
	Can challenge other dogs in the household for dominance?
	Can become overly protective of their home and family members?
	Need socialization and training?
	Will need daily love and attention for the rest of it's life?
	Can live to be 10 to 16 years of age?
	Require annual vaccinations and vet check-ups?
	Can require flea and tick preventative medication?
	Can be very dependent on people and develop "separation anxiety" if left alone?
	Can develop health problems (including arthritis or hip dysplasia) as they grow older?
	Require a lot of time, effort, money and love?
	Are very loyal and loving, and can be heartbroken if they lose their home and family?

If any of the above things are a concern for you, please do your research before adopting a German Shepherd Dog!

Please tell us anything else that you wish to have considered in your application:

Terms and Conditions

• I acknowledge that all of the information contained in this application is true and accurate.
• I understand that any misrepresentation of fact may result in the removal of the adopted dog by German Shepherd Rescue.
• I 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, German Shepherd Rescue reserves the right to reclaim the dog.
• Once a dog is adopted, if the adoption contract is breached in any way, German Shepherd Rescue reserves the right to reclaim the dog.
• I understand that German Shepherd Rescue reserves the right to refuse service to any potential adopter at any time.
• I understand that by entering the kennel area and by interacting with the dogs that there may be potential hazards and I hereby waive any and all claim or claims against the German Shepherd Rescue, the property owner or the Rescue's volunteers for whatever accidents or injuries may result regardless of fault.

Submitting your application

By submitting this application, you acknowledge 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 German Shepherd Rescue.  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, German Shepherd Rescue reserves the right to reclaim the dog.

To submit your application, please click on 'Submit'.  Once submitted, an adoption coordinator will be contacting you as soon as possible.

Please do not submit an application if you do not live in Southern California, or if you are not serious about adopting a German Shepherd Dog. A minimum donation of $250 will be asked when an adoption is approved, which includes a $25 non-refundable processing fee.

To cancel your application, just click 'Back' on your browser.

We are an all volunteer organization. Please be patient while we process your application. We will respond to you as quickly as we can, usually within ten days.