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?* Choose one: Rent Own
In what type of home do you live* Choose one: Single Family Duplex Apartment Townhouse Condominium Mobile Home Military Housing
If rent, Landlord's name
If you rent, what is your Landlord's or Rental/Management Company's phone number?
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 choose the type of your first animal. Choose one: Dog Cat Bird Rabbit Other
Please enter your first pet's name, breed, age and gender
Is this pet spayed or neutered? Choose one: Yes No
Where did you get this pet?
Do you still have this pet? If not, what happened to it?
Please choose the type of your second animal Choose one: Dog Cat Bird Rabbit Other
Please enter your second pet's name, breed, age and gender
Please choose the type of your third animal Choose one: Dog Cat Bird Rabbit Other
Please enter your third pet's name, breed, age and gender
If any additional pets, please enter the information requested above for each pet.
If it has been longer than 5 years since you have owned a dog, but you DO have dog experience, please give details on what this experience was. *
If in the past 5 years, you currently have only small dog experience, do you have any large breed dog experience that you could give details about?*
Have you ever given up a pet? If yes, please explain*
Whose responsibility is it to make sure a puppy that is 10 months old or younger does not grow up aggressive? *
If you were approved to adopt a puppy (up to 10 months old) from GPRS, would you return the puppy if the puppy became aggressive as an adult? * Choose one: Yes No Unsure
Please explain your knowledge of socialization, dog behavior and proper rearing of a puppy*
Have you crated your dog in the past?
Have you attended obedience classes before?
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: Counter surfing
Experience with housetraining accidents?
Experience with leash pulling?
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 for your adopted dog? What activities do you have planned? If this will be an only dog, how do you plan to keep the dog socialized with other dogs?
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 are adopting* Choose an animal: Barnie Blanca Bowie Bree Calypso Casper-Courtesy Listing Clyde Cooper- Courtesy Listing Cotton Dalton Dobby Ellie Estelle (must be adopted with Comet and Comet) Eugenia Eve Frosty Bear Harlin Holley Iko Izzy Jelly Jolene Joy Juliette Katie Kendall Kim Kitty- Courtesy Listing Lady Lambchop Laney Laura Laurin **Spring Special** Leonardo Logan **Spring Special** Lolly Louise Lucky ** Spring Special** Lumi Maddox-Courtesy Listing Madison Maeve-Courtesy Listing Magnolia Maisie-Courtesy Listing Marcia Maverick Meena-Courtesy Listing Melody Miss Priss-Courtesy Listing Mistle Mita Morgan-Courtesy Listing Murphy Owen Percilla Pinto Bean - Courtesy Listing Radish Reba Rita Robin Rocky Ronnie Saku Shep Sparrow Sulas Willy Winnie Ziggy
What is your second choice for the dog you are interested in? Choose an animal: Barnie Blanca Bowie Bree Calypso Casper-Courtesy Listing Clyde Cooper- Courtesy Listing Cotton Dalton Dobby Ellie Estelle (must be adopted with Comet and Comet) Eugenia Eve Frosty Bear Harlin Holley Iko Izzy Jelly Jolene Joy Juliette Katie Kendall Kim Kitty- Courtesy Listing Lady Lambchop Laney Laura Laurin **Spring Special** Leonardo Logan **Spring Special** Lolly Louise Lucky ** Spring Special** Lumi Maddox-Courtesy Listing Madison Maeve-Courtesy Listing Magnolia Maisie-Courtesy Listing Marcia Maverick Meena-Courtesy Listing Melody Miss Priss-Courtesy Listing Mistle Mita Morgan-Courtesy Listing Murphy Owen Percilla Pinto Bean - Courtesy Listing Radish Reba Rita Robin Rocky Ronnie Saku Shep Sparrow Sulas Willy Winnie Ziggy
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* Choose one: Inside Only Outside Only Inside and 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
Are you aware that Pyrenees have a tendency to bark and roam if not securely fenced?
Do you want to foster or adopt* Choose one: Adopt Foster
By submission of this application I attest that the information provided on this application is true and accurate to the best of my knowledge. I understand that completion and submission of this application does not guarantee adoption of a dog from the Great Pyrenees Rescue Society. I hereby permit Great Pyrenees Rescue Society to contact my Veterinarian(s) and Landlord, if applicable. Please contact your vet as soon as possible to give them your permission for the vet's office to discuss your vet records with our rescue. We will be sending email to the email address listed on this application. Please check your spam filter in case it gets misdirected. Please initial *
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