GOOD SHEPHERD K9 RESCUE

APPLICATION FOR DOG ADOPTION

NOTE:  ADOPTION FEE $300.00 UNLESS NOTED OTHERWISE.  ALSO, PLEASE SEE OUR

ANIMAL PLACEMENT AND ADOPTION AGREEMENT

DOWNLOAD and e-mail the application as an attachment to the address listed with the dog's description (preferred) or the address shown on the form:
 

DOWNLOAD APPLICATION FORM

IF YOU ARE INTERESTED IN ADOPTING ONE OF OUR FOSTER PETS,
PLEASE BE ADVISED THAT DUE TO THE COST OF TRAVEL,
WE WILL ONLY ENTERTAIN APPLICATIONS WITHIN A 50 MILE
RADIUS OF ALBANY AIRPORT.
WE ARE SORRY IF THIS CAUSES A NEGATIVE WITH SOME OF YOU,
BUT PLEASE UNDERSTAND EACH FOSTER HOME IS A VOLUNTEER
AND CANNOT AFFORD THE COSTS OF TRAVEL AND WEAR AND TEAR ON CARS.

 

Date of application:_____________________________

Is there a specific dog from our web site you are interested in? (dog's name)______________________

Name:_________________________________________

Address:________________________________________

_______________________________________________

How long at present address: ________________________

Phone:_______________________________________

Work Phone:__________________________________

Email address:_________________________________

Number of people in the household:_______________________

Ages of children:________________________________

Do you have contact with Grandchildren? ____ If yes, what are their ages? _________________

Do you have contact with neighborhood children? ___________ If yes, what their ages? ___________________________

Are you willing to attend dog obedience classes? _____________

Have you ever attended dog obedience training classes? ________if yes, where & when?______________________________

If your yard is not fenced, how do you plan on making sure your dog receives enough daily exercise? ________________________________________________________________________________________

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Is everyone in your household in agreement on adopting a dog?________________________________

Does anyone in your household have allergies to dogs?____________________________________

Current pets in home /dog or cat/ age / sex / spayed-neutered

__________________/____/____/_______________

__________________/____/____/_______________

__________________/____/____/_______________

__________________/____/____/_______________

History of ALL prior pets (breed, how long did you have the pet, what happened to the pet?) Please describe in detail.

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Have you ever given up a dog? If so, why and where did your pet go? ___________

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Were your previous dogs protected against Heartworm? ___________ If no, why not? __________

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Do you have a fenced yard?____________________ How tall & what type (chain link, stockade, invisible) is fence?_____________________

If not fenced, are you willing to fence your yard? _________

How would you describe your lifestyle (i.e.  retired, fulltime workers,  quiet, busy, etc.)

_________________________________________________________________________

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HOUSING INFORMATION:

Do you own? ___________ Rent? ___________ Is it a house? ___________  Apartment? ______

Condo? ___________ 

If you rent , how long at present rental?________________

Landlord’s name:_____________________________________

Landlord's address: _______________________________________________________ 

Landlord’s phone number: ______________________

CARE OF DOG:

What are you looking for in a dog?________________________________________________________

______________________________________________________________________________________

Will dog be boarded or join you on vacations? ___________________________________________

Where will dog spend his/her time while you are at work? inside outside (circle one or both)

How long do you consider fair for a dog to be on a cable? __________________

Who will be the primary caregiver of the dog?______________________________________________

How many hours per day will the dog spend alone?____________________________________________

What are the working hours of the adults in the household? ____________________________________

Where will the dog spend its days? If inside, where inside?

________________________________________________________

Where will the dog sleep at night?_________________________________________________________

Would you accept a dog who is over 5 yrs old? ___________________

Would you accept a dog who has been abused? ___________________

Would you accept a dog that has a physical handicap? _____________

Are you willing to housebreak a dog if necessary? _______________

How will you handle adjustments/training problems such as chewing & barking? ________________________

Are you willing to give the dog at least two months to adjust to a new environment? _____________________

Certain breeds require to be groomed (approx. $45.00) about four weeks.  Does this present a problem?______

Under what circumstances would you give your dog up? __________________________________________

Will you agree to a home visit prior to placement of the dog?__________________________________

Additional Comments: _______________________________________________________________
_________________________________________________________________________________
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REFERENCES:

1)       Name:____________________________________________

Phone:____________________________________________

2)       Name:_____________________________________________

Phone:_____________________________________________

VET REFERENCE: (You will need to contact vet office to give approval for us to contact for reference before sending this application.)

Name:_________________________________________________

Phone:_________________________________________________

List other rescues to which you have applied: ______________________________________________________
_________________________________________________________________________________________

I AGREE THAT ALL THE ABOVE INFORMATION IS CORRECT AND TRUE TO THE BEST OF MY KNOWLEDGE.

Signature of applicant:__________________________________________________________________