GSDRI Adoption Application

GSDRI Adoption Application
Dog1
Dog2
Dog3
Dog4
Dog5
Dog6
Dog7
Dog8
Dog9
Dog10
Application for {dog1} {dog2} {dog3} {dog4} {dog5} {dog6} {dog7} {dog8} {dog9} {dog10}
Available dogs are listed at GSDRI Website
Dog's Name (If the dog you are interested in is not listed, we are not accepting applications for them at this time)
How did you find this dog?

Other
Applicant 1

First NameLast Name
Birth Date

MonthDayYear
Applicant 2

First NameLast Name
Birth Date

MonthDayYear
E-mail
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Preferred method of contact and best time to contact
How long have you lived at your current address?
Previous Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you plan to move in the near future?

Home Occupants
How many people live in your household?
List everyone living in your home, including yourself.
1. Name, Age, Relationship
2. Name, Age, Relationship
3. Name, Age, Relationship
4. Name, Age, Relationship
5. Name, Age, Relationship
6. Name, Age, Relationship
Ages of children who visit the home
Does anyone in your household have known allergies to animals?
Does everyone in the household want to adopt a dog?
Has anyone currently living in your home ever been charged with, or convicted of a crime (not including traffic violations)?
Provide details of the charge or conviction

Dog Care & Training
Who will be responsible for the care and training of the dog?
How many hours a day will the dog be alone?
Where will the dog be kept while alone and unattended?
Where will the dog spend it's nights?
How often will you feed the dog?
What brand of food?
What type of exercise do you plan to give the new dog?
How often?
Have you crate trained a dog before?
How do you feel about using a crate?
What is your experience with training dogs? Indicate any specific issues you have dealt with (i.e. food aggression, jumping, leash walking, shyness, etc.)

Vet Information

We will contact your veterinarian to verify your current pets are up-to-date on vaccinations.
Vet Name
Clinic Name
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

References

Please list 3 references--2 of which CANNOT BE RELATED to you. Contact your references and tell them to be expecting our call.
1. Full Name
Relationship
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
2. Full Name
Relationship
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
3. Full Name
Relationship
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number

AGREEMENT - Please carefully read and sign the following agreement:

By submitting this application, I certify that the information I have given is true and I authorize my veterinarian and references to release any information requested by GSDRI in the investigation of all statements made in this application. I understand that a home visit will be required before approval.
Signature (Applicant 1)
Date

MonthDayYear
Date
Signature (Applicant 2)
Date

MonthDayYear
Date
Should be Empty:

Home Occupants