Coastal German Shepherd's Adoption Process and Application Form

**Adoption Application - * Denotes a required field.**

You only need to fill out this application ONCE and will cover all dogs

Dog you're interested in:*
How did you hear about us?
If "other", please specify...
First Name:*
Last Name:*
Address:*
City:*
State:*
Zip:*
How long have you lived in your current home?*
E-Mail:*
Home Phone:* xxx-xxx-xxxx
Work or Cell Phone:* xxx-xxx-xxxx
Best Number to call:* Home Work/Cell
Best time to call:*
Age:*
Employer:*
Work Phone:*
Do You Own or Rent:* Own Rent
Type of home:* House Apartment Townhouse Other
Are dogs allowed in complex or HOA? Yes No
Landlord Name and Phone:
Is the yard fenced in? Yes No
How tall is the fence around 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
Everyone in household: Gender/Age Allergies?

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, for each indicate breed, gender, age)
Pet #1
Pet #2
Pet #3
Pet #4

Are all your pets spayed or neutered?* Yes No
If not, why?
Have you had a dog before?* Yes No
If so, what breeds?
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 of your Veterinarian?

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Our adoption donation for adults is $375 and the adoption donation for puppies is $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

If you have any issues submitting this application let us know by emailing: ocdogs@coastalgsr.org

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