Adoption Application Contact Info: Your Name (required) Your Email (required) Address City State Zip Phone Mobile/Work Best Time to Call _______________________________________________________________________ Reference: Personal Reference (not a relative) Relationship Phone _______________________________________________________________________ Home Details: Do You Own or Rent Your Home? OwnRent If you rent, do you have the landlord's permission to keep dogs? YesNo Landlord's Name Phone Which Best Describes Your Home? HouseApartmentCondoTrailerOther If Other, please describe Years Lived at This Address If less than one year, please give previous address Do You Have a Fenced-In Yard? YesNo If Yes, what type of fence? Height How Many Adults in Household? How Many Children in Household? If you have children, list their ages and genders Are there visitors to your home (human or animal) with which your new dog must get along? _______________________________________________________________________ Other Pets: Do You Own Other Dogs? YesNo If Yes, are they Spayed / Neutered? Give breed, sex, and age of each dog Do You Own Cats? YesNo If Yes, how many cats? Do You Own any Other Animals? Explain: Do You Have a Regular Veterinarian? YesNo Vet's Name Phone Vet's Address How Many Dogs Have You Owned in the Last Five Years? List Dog Breeds You've Owned in the Last Five Years If you do not still own them, what happened to them (be specific)? _______________________________________________________________________ Your Rescue Dog: Have You Owned a Great Pyrenees Before? YesNo Why Did You Choose This Breed? Check Your Plans for This Dog CompanionGuardObedienceOther Choose Your Preference MaleFemaleNo Preference Age Preference, if Any? Where will the dog spend the day (check all that apply) IndoorsCrateGarageFenced YardKennelOther Where will the dog spend the night (check all that apply) IndoorsCrateGarageFenced YardKennelOther How many hours, on average will the dog spend alone? _______________________________________________________________________ Δ
