Welcome to FRGSR

Adoption Application

ALL FIELDS MUST BE COMPLETED for your application to be considered.

Please keep in mind we must be able to reach your references, to process your application.

Contact Information

First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
-

Email*

Home Phone

Cell Phone*

*=required

Applicant Name*

Occupation

rescue use only

Spouse/Partner Name

List Gender and Ages of all children residing in or visiting your home. WE RESCUE DOGS OF UNKNOWN BACKGROUND FROM SHELTERS, INDIVIDUALS, AND ORGANIZATIONS THROUGHOUT THE USA. FOR THAT REASON, WE ARE VERY CAUTIOUS PLACING DOGS IN HOMES WITH CHILDREN AGE 7 AND UNDER. IF YOU HAVE EXPERIENCE WITH GERMAN SHEPHERDS AND FEEL YOU CAN ADEQUATELY PROVIDE A SAFE BUFFER FOR YOUR CHILDREN AND OUR DOG, PLEASE CONTINUE WITH THIS APPLICATION. IF YOU DECIDE TO SUBMIT THIS APPLICATION AND HAVE YOUNG CHILDREN IN YOUR HOME, PLEASE UNDERSTAND, YOUR WAIT MAY BE MONTHS BEFORE WE FIND A POSSIBLY SUITABLE DOG TO BE PLACED IN YOUR HOME, AND EVEN THEN, IT WILL BE YOUR RESPONSIBILITY TO INSURE YOUR CHILDREN'S SAFETY.*

Have you adopted a dog from us before?

Yes

List current Vet- If you currently do not have a vet, please provide us with the name and phone number of the vets you previously used for your pets.*

Vet Phone number

Name of pets treated at vet

Under what name AND PHONE are vet records listed?

List a reference (who is not a family member)*

Reference phone number*

List Personal Reference *

What is their phone number?*

Please list an additional reference (who is not a family member)*

What is their phone number?*

How many Adults reside in your household*

What are the ages of the adults in your household?

18-25	26-45
46-60	60-70
Other

Other-List Ages

In what type of home do you live*

Do you own or rent your home*

If you rent, or live in a townhome or condo, please enter your property manager's name and phone number

List the name, size, gender and age of dogs in your home. *

What other animals or livestock are in your household?

cats	horses
Fowl	Other

What other breeds have you considered?

Have you owned a German Shepherd or similar dog before?

Yes

Please tell us about the German shepherd Dogs (or other dogs) you have had as an ADULT. If you have never had a GSD before, why have you decided on one now? *

Rescue dogs come with their own personalities. Some may not be a good fit for your family. What characteristics will you accept in your new German Shepherd? Check all that apply.

Active	Calm
Dominant	Independent
Not good with strangers	Playful
Protective	Reactive to other dogs
Shy	Submissive

Most rescued dogs have some issues that will need worked with. We provide you with known information. What traits would cause you to give up on your new German Shepherd? Check all that apply.

Chewing	Dominance
Inability to get along with large dogs	Inability to get along with small dogs
Inability to live in a home with cats	Jumps/climbs 6 ft fence
Lack of Confidence/Fear/Shyness	Major Medical Issues
Minor Medical Issues	No training
Not Housebroken	Not good with Strangers
Reactivity to Children	Separation Anxiety
Very High Energy

Under what circumstances would you consider euthanizing a dog?*

What is the name of the dog you wish to be considered to adopt?

Have you read the dog's story to see if he might be a good fit, rather than just looking at the dog's appearance?

Yes

If this dog is not available, would you be interested in other dogs that might be a good fit?

Yes

Ages and Genders of Dog you want to adopt.

Under 6 mo	Under 6 mo Mix Shepherd
6- 18 months	18 months - 4 yrs
5 - 7 yrs	Senior
Male	Female

Thinking about your lifestyle, trips or activities planned that would interfere with your ability to care for a dog, how soon are you able to take your new family member into your home?*

What Traits are you looking for in your new dog?

Active	Calm
Dominant	Independent
Playful	Protective
Shy	Submissive

Are you aware that a German Shepherd Dog may challenge a stranger or someone he doesn't know well? Also a dog may not like all your friends or your children's friends. What is your feeling about this and how would you manage this situation?*

What type of exercise would you offer a dog?

Hiking	Jogging
Neighborhood walks	Other

What amount of time and effort do you have to devote to training your new dog?*

Sometimes dogs may take a while to adjust to home situation. How much time are you willing to give a dog to adjust to its new environment and family members?*

What activity level are you looking for in your dog?

High Energy- Active Pet	Low Energy
Moderate Energy	Very High Energy- Working Dog

How much time will the dog spend WITHOUT HUMAN contact during the day? *

Where will the animal be kept when you are home*

Where will the dog be kept when you are not home?*

How will you train your new GSD?*

Will the animal be kept inside or outside?*

Is your yard fenced*

How high is the lowest part of your fence?*

What type of fence*

Do you have a dog door?

Yes

Often dogs are not interested in being with other dogs. Do you need a dog that can go to a dog park?

Yes

Where will the dog sleep?*

Please tell us a little about yourself and why you could provide a good home for one of our rescue dogs. Please include any other comments you'd like to add for consideration of your application.

Interested in volunteering? Check below. Checking a box will not influence the decision of the adoption committee to place a particular dog in your home.

Transport	Foster Care
Fundraising	Dog walking
Home Visits	Other

I confirm that all the details, answers and information given on this application are true, accurate and complete. A volunteer will contact the references you have provided. We understand that you are excited about adding a new member to your family but please understand that we are an all volunteer organization and this process could take up to 14 days.*

*=required

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