SE GSP Rescue Adoption Application

Thank you for considering adoption from Southeast! This questionnaire is designed to help us match dogs with their forever families. We ask for your understanding in that we are by no means questioning your integrity. It is our sole intent to ensure your satisfaction as well as our dogs' welfare. This questionnaire is the first step in our adoption process. We appreciate your time and will contact you shortly. Fields marked with * are required. If you have problems with this form please CONTACT OUR WEBMASTER.
*Email
Name (first AND last, please)*
*Address
*City
*State	[why only these states?]
*ZIP
*Primary Phone
Secondary (cell) Phone
Best time to call	daytime evening anytime

Which particular SE GSP Rescue dog interests you:	Name all dogs that interest you
Reason for wanting a Rescue GSP:
Do you prefer	male female no preference
and why?
Age preference (check any/all that apply):	puppy-under 12 mo young adult 1-4 years adult 4-10 years senior 10+ years
and why this preference?
Have you owned a GSP before?
Do you still have your GSP?
If not, why?
*Please describe your yard (size of fenced area, fence type/height, etc.)
How far will you travel to get your dog?
Time limit in search?

*Other pets in your household?	No If no other pets, please skip to the next section.
	Yes If yes, please answer the following questions:
List type (dog, cat) & ages
Are your current pets spayed/neutered?
What type of heartworm preventative do you use for your current dog(s)?
What type of training have you done with your current dog(s)?
What brand of dog food do you use?

*Family members & ages, particularly children:
Is someone home during the day?
If no one home, will someone take time off when the dog first comes?
How much time would the dog be left alone?
Where will the dog live?
Where will the dog sleep?
What arrangements do you have for pet care when you travel?
Are you willing to attend obedience class?
How do you plan to exercise your dog?
Do you have any limitations on caring for health issues of the dog?
Under what circumstances would you return your adopted dog to rescue?
Current or prior veterinarian for reference:	Name: Address: Telephone:

Have you applied with other Rescue groups? If so please list:
Have you already been in contact with a volunteer from SE GSP Rescue?
How did you hear about us?
Comments or anything else you'd like us to know?
Signature (type your name) Date I have read and understand the SE GSP Rescue Terms of Adoption. \|