German Shepherd Rescue

German Shepherd Rescue (Surrey) Adoption Information Form

Please complete comprehensively.

• Dog's name from website

  Leave blank if you have no preference at the moment

• Our minimum donation is £150 per dog to support our long stay dogs. *
  We agree to your minimum donation of £150 per dog.
• Adopters name(s) *

• Adopters Age(s) *

• Address *

• Post code *

• Home Landline Phone Number(s) *

  Please note: We prefer to phone landline numbers

• Mobile Number(s)

  For emergency contact

• Best time to call *

• Contact email address *

• Please state occupation *

  Self & partner: e.g. Homemaker, Homeworker, Retired

• Do you have holidays, weekends booked in the near future *
  Please select (If you cannot home a dog before please apply after)No holidays booked in the near futureNew dog will come with usDog will go into kennelsDog sitter arrangements
• Family structure, persons living in the home *

• Children *

  Select all that apply

  Child free zonePlanning a family in next 5 yrsBaby - toddlers 0-2 yrsVery young 2-6Young 6-10Tweens 10-15Teens 15-20Grown up Children - Left home

• Regular visitors like step - or grandchildren that stay over

• First time dog owners *
  YesNo
• Resident dog(s) in the home *
  YesNo
• Resident dog(s) Name, breed, age, special needs eg deafness, arthritis

• Neutering status of other dogs in the household. *

  Please note we only home with resident neutered dogs

  We have no other resident dogsWe will apply again when our resident dog(s) have been neuteredOur resident dog(s) have already been neutered
• Other pets, small furries, birds, chickens, horses

• Your Vet’s full details *

• Property type *
  FlatSemi detached / End terraceDetachedBungalowMobile homeMid terrace
• Property ownership *
  OwnedRentedTemp due to move
• Written permission available on homecheck *
  Not neededYesNo
• Home exit management *
  Live on main A roadLive near main A roadPorch door as secondary exitFront garden and gate secureWe regularly use side/back gate to our propertyMy front door opens straight onto the street
• Garden Type *
  No gardenSelf containedCommunal gardenRight of way through garden
• Type of boundaries *

  Please state lowest height of fencing and check boundaries for state of repair.

• Room access: where will the dog be left when out *

• Where will the dog sleep at night *
  Owners BedBedroomFree rangeKitchenOutside
• Have you been homechecked by another rescue

  Which one and when?

• Pattern of Actual working hours incl. travel time *

  1st named adult, 2nd named adult

• Actual time dog left during working day *
  1 - 2 hours3 - 4 hours5 - 6 hours7+ hours
• Number of days per week related to above *
  1 day2 - 3 days a week3 - 5 days a weekMore than 5 days
• Where will dog be left when out *
  Free rangeKitchenHallClosed crateOutsideOther
• Dog Care arrangements when out *

• Day care arrangements

  Please give details of the company you will be using (if applicable)

• Breed types I/we have experiences with

• Have you rescued before?

• Have you managed dogs with any 'issues' in the past?

• Where did you find out about us?

• Additional information