Adoption Application

This Questionnaire is necessary to determine your qualification as a prospective adoptive home for one of our dogs. Please complete the following questions in as much detail as possible so that we can quickly process your application.

Please note: Applications cannot be processed without all questions being answered completely. If you submit an application with missing information, there will be a delay in processing, It is our goal to find the best possible match for our dogs and their new families. By completing this application and providing a vet reference, you are giving Texas Great Pyrenees Rescue express authorization to contact and confirm vet care of your current animals.

Please Note: Questions marked with a red asterisk (*) are required. You will not be able to submit your application until all marked questions are answered.

Application Type

I am applying to:

Foster	Volunteer
Adopt a House Pet	Adopt a Livestock Guardian Dog

Contact Information

First Name: *

Last Name: *

Suffix:

Address Line 1: *

Address Line 2:

City: *

State: *

Zip Code: *

Email: *

Home Phone: *

Work Phone:

Cell Phone:

Occupation: *

Will a Spouse or Domestic Partner share the responsability of caring for your adopted dog? *

Yes No

Do you currently own any pets or have you owned pets within the last 5 years? *

Yes No

Pet Information

Please tell us about all pets that you have owned for the last five years.

Pet Name *

Breed

Age or Date Of Birth

Adoption Date

Current Status

Gender *

Altered *

Male

Female

Yes

Male

Female

Yes

Male

Female

Yes

Male

Female

Yes

More...

Veterinarian Information

Have you taken your pets to a veterinarian within the last 5 years? *

Yes No

Please tell us about all veterinarians that you have treated your pets for the last five years.

Clinic Name: *

Phone Number: *

First Name:

Last Name:

Address Line 1: *

Address Line 2:

City: *

State:

Zip Code: *

Clinic Name: *

Phone Number: *

First Name:

Last Name:

Address Line 1: *

Address Line 2:

City: *

State:

Zip Code: *

Clinic Name: *

Phone Number: *

First Name:

Last Name:

Address Line 1: *

Address Line 2:

City: *

State:

Zip Code: *

Clinic Name: *

Phone Number: *

First Name:

Last Name:

Address Line 1: *

Address Line 2:

City: *

State:

Zip Code: *

Clinic Name: *

Phone Number: *

First Name:

Last Name:

Address Line 1: *

Address Line 2:

City: *

State:

Zip Code: *

More...

Personal References

Only One Reference can be a Family Member

Name *	Address *	Phone *	Relationship *

Adoption Process

Are you willing to let us do a homecheck? *

Yes No

What is your date of birth? *

Please describe what characteristics you are looking for in a Great Pyrenees *

Household Information

I live in a(n) *

Do you have a fenced yard? *

Yes No

If yes, what type of fencing, what height?

How long have you lived at your current address? *

Is anyone in the household allergic to dogs? *

Yes No

Do you have children or do children frequently visit your home? *

Yes No

If yes, age range?

Are you open to adopting a mixed breed Pyr? *

Are you willing to travel to get your adopted pyr? *

Yes No

If you have reviewed our available dogs, please list the name(s) of the pyr(s) you may be interest in.

If renting, please provide contact information for Landlord

Name

Address

Phone

Care for Adopted Pyr

Hours a day your Pyr be left alone *

Where will your Pyr stay while you are away from home? *

Where will your Pyr sleep? *

Where will your Pyr stay while you are on vacation? *

What will you do with your Pyr if you move? *

What training method(s) will you use? *

Featured Dog

Rikki

Hi, my name is Rikki and I had my photo shoot today. Wow I did all kinds of tricks, hope my foster mom got them all! I'm a really happy  three year old little girl. Well maybe I'm not so little but just think of all the big love! I  love to run and jump and I listen pretty well. I need to work on my manners, but I'm really smart and learn quickly cause I really want to please. I get along well with others but I don't like sharing in the cafeteria line, I prefer to eat by myself right now. My foster mom and dad pet me alot and I really love it and show it by giving them kisses. I'd like to come in the house and since I've had my bath I get to now.  I haven't had to bark much around here cause the others seem to have that covered but do I love to play play play.if it was all up to me I'd play till the cows came home.  I am leash trained and gentle in the house. If your looking for a fun loving, happy go lucky personality, I'm your hunkleberry!

Please Help!

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