First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Email*

Home Phone

Work Phone
x

Cell Phone*

Alt Email

Text/Pager Email

Please list your age: *

Secondary Applicant's Name: *

Age of children (if any)? Please include visiting children and/or other children the dog may be interacting with: *

How did you hear about us? *

What is your occupation? Please state also if full-time or part-time, retired or student. *

Do you own or rent your home?*

In what type of home do you live?*

If rent, Landlord's name: *

If rent, Landlord's phone #*

If you rent, have you received the approval of your landlord to have a large breed dog? *

Is your yard fenced? *

What is the type and height of the fence? We require secure visible fencing. *

Veterinarian's Name:*

Veterinarian's Phone Number: *

Do you currently have or have you had any pets in the past 5 years? *

Please give us information on each animal separately.*

Please enter your first pet's name, breed, age and gender:*

Is this pet spayed or neutered?*

Where did you get this pet?*

Do you still have this pet? If not, what happened to it? *

Please enter your second pet's name, breed, age and gender *

Is this pet spayed or neutered? *

Where did you get this pet? *

Do you still have this pet? If not, what happened to it? *

Please enter your third pet's name, breed, age and gender: *

Is this pet spayed or neutered? *

Where did you get this pet?*

Do you still have this pet? If not, what happened to it?*

Please enter the information requested above for any other pets/livestock that the new dog would be around *

Have you ever given up a pet?

Have you crated your dog in the past?*

Have you attended obedience classes before?*

How do you plan on socializing the dog?*

What is your definition or philosophy of disciplining and training your dog? *

Please tell us if you have had experience with any of the following behaviors: *

Experience with counter surfing? *

Experience with housetraining accidents? *

Experience with inappropriate chewing? *

Experience with barking?*

Experience with fence jumping? *

Experience with chasing cats?*

Experience with separation anxiety (whining, destructiveness or acting out when left alone.) *

Experience with shyness toward strangers? *

Experience with aggression toward other dogs? *

Experience with resource guarding? *

What are your plans for socialization and exercise of the dog? *

What 3 characteristics do you find most appealing about a new dog? Choose 3 *

Other:*

What characteristics would you find the least appealing in a new dog? Mark all that apply *

Which characteristics might cause you to want to return an adopted dog. Explain each in detail. *

Other:

Explain:*

Name of animal you wish to adopt: *

List your second choice:*

Please give your choice if unlisted: *

Would you consider a dog with special needs such as blindness, deafness, physical limitations, etc.? *

Gender and age preference: *

Please list any expectations you may have for the dog (ie: service dog? livestock guardian dog? Family pet? Combination of any of those?)* *

What level of activity would best suit your family? Low/Medium/High? *

Are you willing to housebreak a dog? *

Will the animal be kept inside or outside? *

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

Where will the animal be kept when you are home? *

Where will the animal sleep? *

How much time will the animal spend alone during the day? *

Have you applied with any other rescue? *

If yes, please give name(s) of other rescue organization *

Are you aware that Pyrenees have a tendency to bark and roam if not securely fenced? *

Do you want to foster or adopt?*

Animals can be expensive to care for (approx. $750 per year). Are you willing and able to provide adequate food, shelter, and medical care, including yearly checkups and vaccinations, for an adopted dog? *
Choose one: No Unsure Yes

What is the best time to call you at home to check on how the adopted dog is adjusting?*

Personal Reference #1 (Name & Phone #)*

Personal Reference #2 (Name & Phone #)*

Personal Reference #3 (Name & Phone #)*

****ATTENTION**** ADOPTION AND FOSTERS AGREE THAT IF FOR ANY REASON A DOG NEEDS TO BE REHOMED, YOU AGREE AND UNDERSTAND THAT YOU WILL REMAIN RESPONSIBLE FOR THE SAFETY, CARE, HOUSING, AND ANY OTHER NEEDS OF THE DOG UNTIL THE RESCUE IS ABLE TO FIND A NEW HOME FOR THE DOG. NO DOG CAN JUST BE PULLED ON A WHIM AND IT TAKES TIME TO FIND A NEW HOME, SOMETIMES WEEKS. YOU MUST AGREE TO THIS TO MOVE FORWARD!!!!!!

TYPE YOUR NAME IF YOU AGREE TO MOVE FORWARD AND ACCEPT THESE TERMS*

By signing this application you intend to foster or adopt a dog from the Great Pyrenees Rescue Resources Utah Montana. Any dog considered for adoption as we proceed through our adoption process requires a signed adoption contract. Should an adoption contract not get signed, for any reason, you forfeit the ownership of the dog. The dog will at that moment be returned to the rescue. You also agree to provide regular updates about the dog, either through text, phone, or through the GPRM Alumni page. Type your initials if you agree. *