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

Pls. list your current pets:

If yes, please type in heartworm medication you use, most of our rescue dogs are on Interceptor:

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

What is your experience with obedience training?

Have you ever attended formal obedience training with any of your pets?

Are you willing to take your GSP Rescue dog to formal training?

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 many hours will the dog be alone?

Where do you keep the dog when you aren't home, crate, etc?  

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

Have you applied with any other rescue groups, if yes please list.

If you have applied with any other rescue groups, did they perform a homecheck.

Have you been denied adoption by any other rescue group?

Any other information you would like us to consider?