THE GSROC 5 MINUTE ADOPTION APPLICATION
NOTE: Fields marked with an * are required fields.
How did you hear about us?

Dog interested in:*
 
TELL US ABOUT YOURSELF
First and Last Name:*
Street Address:*
How long at this Address?*
City:*
State:*
Zip:*
E-Mail:*
Home/Cell Phone:*
Best time to call:*
Age:*
Do you have children
living at home?*		 Yes No
How many do you have?  Age-range:
Activity level at home?*
 
OPTIONAL
Please provide ages and if any household members have any allergies:
Gender/Age:
Allergies?
Gender/Age:
Allergies?
Gender/Age:
Allergies?
 
PREVIOUS AND EXISITING PETS
Do you have any cats?*   Yes No  
How many do you have? Age-range:
Do you have any dogs?* Yes No     
(If yes, please indicate dog breed, gender and age, and if they are spayed or neutered)
Have you had a German
Shepherd before?*		   Yes No
What breed of dogs have
you owned in the past?*
What happened to it/them?
Have you ever given away a pet before?*   Yes No
If so, when did this happen? (Year)*
Under what circumstances would you give up a dog?*
 
EMPLOYMENT
Employer* (if unemployed or self-emplayed, write "none: or "self"):
Work Phone:*
 
RESIDENCE
Do You Own or Rent:* Own Rent
Type of home:* House Apartment Townhouse
Other
If you are renting, please answer the following required questions
Are dogs allowed in the
apartment or house?		 Yes No
Landlord phone number:
If you own your home, please answer the following required questions
Is the yard fenced in? Yes No
How tall is the fence around your property?
Do you have locks on all gates? Yes No
Do you have a pool? Yes No
Is your pool fenced in? Yes No
 
ABOUT THE PROSPECTIVE DOG
Why do you want a rescue dog?*
Why do you want a German Shepherd?*
Where will the dog sleep?*
Will the dog be alone during the day?
If so, how long and where will he or she be?*
How much time will the dog spend outside?*
How often do you plan to exercise your dog, and how?*
Do you have a doggie door in your house?*   Yes No
Who will be mostly responsible for the dog?*
Who will provide for your pet in the event that you become ill or unable to care for him/her?*
Name and phone number of your Veterinarian?

Please note that our adoption donation is minimum $300 for adult dogs and $400 for puppies 1 year and under. 




Adoption Application

 If you are interested in adopting one of our dogs, you may submit an application online or via fax.  To make sure that your application is accepted, please make sure you have completed the required* fields. If you choose to send a fax, please download the Adoption Application here in PDF format; fill it out and sign it. You can fax it to us at 714-773-9430. 

Home Visit
Prior to any dog going home, we do require a home visit to ensure that your environment is safe and secure.  Once your home has been approved, the adoption can move forward. 

Adoption Donation
Our adoption donation is minimum $300 for adult dogs and $400 for puppies 1 year and under.  This donation is tax deductible as allowed by law and helps to offset the costs that we have incurred for the dog’s care and housing during his or her stay with our group. The minimum adoption donation does not entirely cover the investments that we have made in the dogs so if you are in a position to give more, we would be honored to receive your additional donation. All adoption donations go directly toward the needs of our dogs.  

All dogs adopted through GSROC are spayed or neutered, current on their vaccines and de-wormed.  Because the minimum Adoption Donation rarely covers the costs associated with each dog, we ask that adopters who are in a position to give additional funds do so at their discretion.  We also ask our adopters to help us spread the word about the important work that we do.






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© Copyright 2005-2008. Association of German Shepherd Rescuers, Inc., is a non-profit,
501c(3) Organization in the O.C. (Orange County).
Serving Orange County, San Diego, San Bernardino, Riverside, Greater Los Angeles and more.

This web site has been donated by WollnerStudios, Inc. www.wollnerstudios.com