First, Last: *
Address: *
Email: *
Phone: *
Interested in:
Puppy 1-3 yr old
3-5 yr old Age unimportant
Female Male
Have you owned a GSD?:
Do you own dogs now?:
List past dogs, & what happened to them:
Have you considered the cost & time of adding a dog to your family? : *
What is the work schedule for you/your family?:
Do you Rent or Own?:
If renting, please provide Landlord info:
What type of enclosure do you have?
Fenced yard chain link kennel
Cable run Nothing
Where will the dog spend most of his/her time?: *
How will you solve behavior issues that may arise?:
What do you like most about German Shepherds?:
Why do you want to adopt a Rescue Dog?:
Do you intend to take Obedience Classes?
Yes No
What type of exercise will you provide a GSD?:
Please provide 2 references: *
Name & phone of current vet: *
Additional Comments:
If a PO Box was provided above, please give physical address:
Initialling here gives permission for a Rescue rep. to contact vet & references provided, as well as being willing to arrange a home visit: *
