Mid-Atlantic German Shorthaired Pointer Rescue Adopter Application

Name:

Address:

City/State/Zip:

Home Phone:   

Work Phone:   

E-mail Address:

Reason for wanting a dog?

Gender Preference? Male Female Either   Age Preference?

Housepet? Yes No       Will dog be used for hunting? Yes No

Have you owned a GSP before? Yes No    If yes, do you still own? Yes No n/a   Are you willing to do obedience? Yes No

Pls. list your current pets:

If yes, please type in heartworm medication you use:

If you have current dogs, what brand of dog food do you use?:

How far will you travel to get a dog?   Is there a time limit in your search? Yes No

Pls. list family members and ages, especially children:

Is there someone home during the day & if not how long will dog be alone?

Where will the dog live?   Sleep?

Do you have a yard? Yes No Yard Size?

Do you have any type of fencing? Yes No Fence Type?   Fence Height?

If no fencing are you willing to install fencing? Yes No n/a

If willing to install fencing, what type would you install?:

Current/prior vet address & telephone number:

Will you deal with health issues of dog? Yes No

Do you have any limitations on caring for health issues of the dog?

Do you intend to be a single/multiple dog family? Single Multiple

Any other information you would like us to consider?