August 20, 2008

National Great Pyrenees Rescue
Adoption/Fostering Application Form


First Name:

  

Last Name:

  

Address:

  

City:

  

State:

  

Zip:

  

Phone (Day):

  

Phone (Evening):

  

Best Time to Call:

  

E-mail Address:

  

How Did You Hear About Us?

  

I Would Like To:

  

 Adopt Foster
Transport Network
Name of Dog I Am Interested In (If Any):

  

Preferences for Adoption/Fostering
Sex:

  

 Male Female Either
Age:

  

 Under Two Two to Five Any Age
For People Who Wish to Adopt
Why Do You Want a Great Pyrenees?

  

Where Do You Live?

  

 House Condo/Apt. Other
If "Other", please explain:

  

Do You Have:

  

 Fully Fenced Yard Chain-link Kennel
Trolley, other tying device Large Crate
Are you aware that Pyrenees have a tendency to bark and will roam if they are not securely enclosed?
Please tell us how your yard is secure:

  

Number of People in Household:

  

Ages of Children:

  

Do All Members of Your Household Know You Plan to Adopt a Dog?

  

 Yes No
Own Other Dogs Now? (List Age, Sex, Whether Spayed/Neutered)

  

Own Other Pets Now? (List Type, Sex, Age)

  

Have You Ever Owned a Pyr?

  

 Yes No
If "yes", please describe what happened to it:

  

Have You Owned Other Dogs?

  

 Yes No
If "yes", please describe what happened to them:

  

Are You Willing to Travel to Adopt a Rescue Dog?

  

 Yes No
Are You Willing to Housebreak a Dog?

  

 Yes No
Your Veterinarian's Name:

  

Your Veterinarian's Phone Number:

  

Any Other Comments?