Name *

First Name

Last Name

Are you over 18? *

Your application won't be considered if you are under the age of 18.

Yes

No

What is your housing status? *

We'll need this information to determine the best German Shepherd fit for your living conditions. We'll also need a verified copy of your leasing arrangement or housing contract sent to Tiffany@gashepherd.org.

Homeowner

Renting

Live-in residence (owned by someone else)

Does your current home have a fenced yard? *

Yes

No

Spouse's Name

First Name

Last Name

Do you have other people residing in your home?

This includes temporary residents (shared custody, college kids) or others living with you.

Yes

No

Have your current/past dogs lived indoors? *

Yes

No

By selecting "yes", I certify that my pets (cats, dogs, etc.) are up-to-date on their current vaccinations.

Yes

No

By selecting "yes", I certify that my pets are current on their Heartworm, Flea and Tick Preventatives.

Yes

No

Primary Veterinarian's First and Last Name *

First Name

Last Name

if you work at home, will this be temporary?

Yes

No

Would you be open to attending a formal obedience training program if suggested?

Yes

No

Have you ever been convicted of a crime related to mistreatment or cruelty to animals?

Yes

No

Have you ever adopted and later returned a dog?

Yes

No

Reference #1 Name *

First Name

Last Name

Reference #2 Name *

First Name

Last Name

Reference #3 Name *

First Name

Last Name

By clicking "yes", I certify that all references and information I have provided to German Shepherd Dog Rescue of GA is accurate. *

If we learn that any information provided was false, your application will be denied.

Yes

No

By clicking "yes", I certify that I provided truthful and complete answers in all require fields of this form. *

Incomplete applications will result in the application not being processed.

Yes

No

By clicking "yes", I understand that lack of response from my references will result in the termination of my application. *

Yes

No

I have read the Adoption Policies. *

Click here to review Adoption Policies: gashepherd.org/adoption-policies

Yes

No

I am willing to sign, and be bound by an Adoption Contract before adopting my German Shepherd. *

Yes

No

By clicking "yes", I understand that if GSDRGA finds any falsely reported information in my application, my application will be denied. *

Yes

No