Your Street Address
Your Mailing Address
Your Home Phone
Cell Phone (If Available)
Best Time to Call
Your Email Address
Time at Present Job
Personal Reference other than a relative
Reference Name - (First and Last)
Cell Phone (If Available)
Best Time to Call
Home Environment Information
What type of home do you live in. ie: house, condo, appartment, etc.
Do you rent or own.
If renting, do you have your landlords permission to keep a dog.
Note: There may be certain breed and weight restrictions, it's best to consult your landlord to be sure.
Please email a copy of your lease to email@example.com. Include ADOPTION APPLICATION and your LAST NAME in the subject line.
If you live in a condominium/co-op, or your house is part of a homeowners association, please
provide a copy of the bylaws, rules and regulations of such organization stating that there are no
restrictions regarding owning a dog. If there is a limit on the number of pets you are allowed, please
note the limit on the copy of the bylaws, using the same method above.
How long have you lived at this address.
Do you have a fenced yard.
Fence Type & Height:
Does fencing completely enclose a yard for a dog
If no fence, how will you handle the dogs exercise and potty needs, etc.?
How many adults in the household (Please include name(s))?
How many children, please include age and gender.
Do you or does anyone in your family have allergies?
Are all family members in agreement about adopting a German Shepherd?
Do you own cats? If so, how many.
Do you own any other animals, if so, please explain.
Pet Ownership Information
Do you have a regular veterinarian? Please include name, address and telephone information for current and/or
previously owned animals.
Do you authorize Montana German Shepherd
Rescue to contact your veterinarian for your vet history?
Have you ever re-homed a dog? If so why and when?
How many dogs and cats have you owned in the last 15 years.
Give the name, age, gender, breed, if spayed/neutered and what happened to all the dogs you have owned
in the last 15 years, but no longer have, listing the years that you had them:
For all the dogs you presently own, give name, age, gender, and breed and if spayed/neutered.
If you have a current dog, would you describe him as being alpha or submissive to other dogs? Answer &
Describe your ideal dog:
Have you owned a German Shepherd before?
Why did you choose this breed:
In your research of this breed, is there anything that might be an issue for you:
List all the plans for this pet:
Where will the dog spend the day?
Do you want to adopt a male or female:
On average, how many hours will the dog spend
human company each day: WITHOUT
Where will the dog spend the nights?
Do you agree to license this dog and give him/her regular health care:
Would you be willing for someone from the Montana German Shepherd Rescue to visit your home by appointment?
Do you agree to contact the Montana German Shepherd Rescue if you can no longer keep this dog?
In situations where we do not have a dog that fits your needs, may we share your application with other rescue organizations?
Are you interested in a particular dog? If so, which one?
All of the above information I have given is true and complete. If I adopt a dog from the Montana German
Shepherd Rescue, the dog will reside in my home as a pet. I will provide him/her with adequate water, a
high quality dog food, shelter, training, affection and medical care. I understand that the Montana German
Shepherd Rescue is a referral service and is not responsible for the accuracy of information received about
the habits, temperament, or physical condition of the dogs available for adoption. I understand it is my
responsibility to evaluate a dog for myself before agreeing to adopt him/her. I am in full agreement of the
terms of the adoption. The Montana German Shepherd Rescue shall not be liable for, and is hereby relieved
from, all liability for any damage, expenses, causes of action, fines, suits, demands, judgments, or claims of
any nature whatsoever arising from or by any reason of any damage to property or injury to any persons
caused in whole or in part during the visitation of the dog up for adoption and a dog placed in your home. I
hereby accept and assume such liability and agree to protect, indemnify and hold the Montana German
Shepherd Rescue harmless from and against all of the aforesaid.
Completing, and digitally signing this application document constitutes your permission for us to check references, and release liability
Type Your Name
The Current Date and Time
Thank you for contacting Montana German Shepherd Rescue. We look forward to working with you.
WE RESERVE THE RIGHT, IN OUR SOLE DISCRETION, TO REFUSE ANY
APPLICANT FOR ANY REASON WHATSOEVER.