Coastal German Shepherd Rescue
Adoption Application - * Denotes a required field.

 

Dog you're interested in:*
How did you hear about us?
If "other", please specify...

First Name:*
Last Name:*
Street:*
City:*
State:*
Zip:*
How long at this Address?*
E-Mail:*
Home Phone: format XXX-XXX-XXXX
Work or Cell Phone: format XXX-XXX-XXXX
Best Number to call:* Home Work/Cell
Best time to call:*
Age:*
In order for us to be able to review your application , we need to know if you are employed, by whom, if you are in-between jobs or self employed. This is a required field for all applicants.
Employer:*
Work Phone:*
Do You Own or Rent:* Own Rent
Type of home:* House Apartment Townhouse Other
If you are renting, please answer the following questions (required fields if you are renting):
Are dogs allowed in the apartment complex or house? Yes No
Please provide the phone number for your Landlord:
If you reside in a house, please answer the following questions (condo/townhome as well if applicable):
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
Do you have children?* Yes No
Please provide ages and if any household members have any allergies:
Gender/Age: Allergies?
Gender/Age: Allergies?
Gender/Age: Allergies?
Dog Information
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/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?*
Do you have other pets at home now?* Yes No
(If yes, please indicate breed, gender and age, and if they are spayed or neutered)



Have you had a dog before?* Yes No
If so, what breed?
What happened to it?
Have you ever given away a pet before?* Yes No
If yes, when did this happen? (Year)*
If so, why?
Name and phone number of your Veterinarian?
 

Our adoption donation for adults is $300 and the adoption donation for puppies is $400 - $500. This amount only partially covers the cost of veterinary care, boarding fees, and other miscellaneous expenses involved in the temporary care and adoption of our dogs and is tax deductible.

Prior to placement, all dogs will be spayed or neutered, receive current vaccinations, and are usually microchipped. If not, arrangements will be made on an individual basis.

Special consideration may be given to those willing to adopt older dogs or dogs with physical problems.

We appreciate any additional contribution you may be able to make.


*Denotes Required Field
Donations can also be mailed to
Coastal German Shepherd Rescue
P.O. Box 50726, Irvine, California 92619-0726.
And you can help by shopping through any of the sponsor links on our pages. Thank you for your support.

Copyright 2013, Coastal German Shepherd Rescue