CGSR Adoption Form - Central German Shepherd Rescue

Applicant or main carer's name *

Full address including post code *

Email *

Confirm Email

Home Phone *

Mobile Phone

Best time to contact you *

Your Date Of Birth *

DD / MM / YYYY

Are you interested in Adoption, Fostering or Both *

Adoption

Fostering

Both Adoption & Fostering

Your Home

Please describe as accurately as possible your home and garden details

What Best Describes Your Location *

Rural / Village

Town

City

About Your Home *

Property Ownership *

Owner / Mortgaged

Rented

Parents House

If rented - proof of permission to keep dogs will need to be seen when we visit to complete the home check procedure.

Apart From Yourself
How Many Other Adults Live In The House *

0

1

2

3 plus

How Many Children Live In The House *

0

1

2

3 plus

Please indicate the age of ALL children under 18 living in the home *

If no children please type N/A

Are the children used to large dogs *

N/A

Yes

No

Do your neighbours have children *

Yes

No

Please indicate the approximate ages of any visiting children. *

If no children please type N/A

Your Employment Status *

Nature Of Employment *

Spouses Employment *

Nature Of Employment *

Approximate Size Of Garden *

Length x Width

Is Your Garden Secure *

Yes

No

Typical Height Of Walls and Fencing *

None Present

3 - 4 ft

4 - 5 ft

5 ft plus

Do You Currently Have Any Dogs In The Home *

Yes

No

Please indicate the current breeds, ages and temperament of each and also whether castrated or spayed *

If not applicable please type N/A

Please indicate whether vaccinations are up to date on each *

Some owners prefer not to vaccinate yearly so this is not detrimental to your application.

Are your pets micro-chipped *

Yes

No

Some

CGSR strongly recommends the use of micro chipping your pets

Do You Currently Have ANY OTHER Animals *

Yes

No

Please Give Further Details On The Above Question *

Do your neighbours have dogs or cats *

Dogs

Cats

Neither

Both

Details of your German Shepherd history *

Do you have any large breed non GSD experience, if so please briefly describe it. *

Please describe who would exercise your new dog and roughly how much exercise would it receive each week *

Where would your new dog be regularly walked *

How long and where would the dog be left if you had to go out to work or shopping etc *

Would the dog have full run of the property? *

No

Yes

Typically twice per day

Where would the dog sleep ? *

Would you take the dog in a car ? If NO how would you get the dog to a vet. Please also indicate how they would travel. *

What would you do with the dog if you go on holiday ? *

Take it with us

Kennels

House Sitter

Other

Do you plan to move house in the next 12 months *

Yes

No

Please enter a typical range you are prepared to travel for collecting your new dog *

Describe the dog you are looking for *

eg Bitch, long coat approximately 2 years old etc

Briefly describe how you would introduce your new dog to it's new home, visitors, cats and other dogs *

Do you agree to have an entire dog neutered at your own cost? *

Yes

No

Do you have any objections to the rescue contacting you post adoption? *

Yes

No

Have you or anyone in the household been banned from keeping animals in the past *

Yes

No

Are you registered with a vet *

Yes

No

If yes, please give name, address and phone number of your vet *

Your Home

Donations