Texas Great Pyrenees Rescue Adoption Application

Adoption Application

This Questionnaire is necessary to determine your qualification as a prospective adoptive home for a Great Pyrenees dog.
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 PYR'S AND THEIR NEW FAMILIES.

NOTE: BY COMPLETING THIS APPLICATION AND PROVIDING A VET REFERENCE, YOU ARE GIVING TGPR EXPRESS AUTHORIZATION TO CONTACT AND CONFIRM VET CARE OF YOUR CURRENT ANIMALS.

Personal Data

First Name
Last Name
Age
Occupation
Spouse or Partner's First Name
Spouse or Partner's Last Name
Spouse or Partner's Age
Occupation
Street Address
City
State, Zip	Zip
Please indicate which area you are closest to
Home Phone # (Please list best time & method to contact)
Work Phone #
Alternate Phone #
Email Address
Alternate Email Address

Pet Information

	Pets Name	Breed	Age	Gender	Spayed/ Neutered	Length of Ownership	Where did you get this pet?	Do you still have this pet?	If not, where is it and what happened to it?
1				M F	Yes No			Yes No
2				M F	Yes No			Yes No
3				M F	Yes No			Yes No
4				M F	Yes No			Yes No
5				M F	Yes No			Yes No
6				M F	Yes No			Yes No
7				M F	Yes No			Yes No
8				M F	Yes No			Yes No

Are your pets currently vaccinated?	Yes No
Are your pets on heart worm prevention?	Yes No
Have you ever owned a Great Pyrenees?	Yes No
When?
What other animals do you have? (chickens, goats, rabbits, etc)

Veterinary Information - is required for your previous and/or current pets

	Veterinarian's Name	Clinic Name	Street Address	City, State, Zip	Phone #
1
2

*** I authorize any veterinarian providing service to me to release medical information
on any of my currently or previously owned animals. ***

Household Information

How many adults live in your home?
How many children live in your home?
What are the children's ages?
Do you plan to have children within the next 10 years?	Yes No
Do children visit your home?	Yes No
How often?
Do any other animals visit your home?	Yes No
How often?
What species?
Do you rent or own your home?	Rent Own
How long have you lived at this address?
Do you have plans to move?	Yes No
When?
If you rent, please provide the name, phone# of your landlord:
Does anyone in the home have allergies or asthma?	Yes No
Who and to what?
Have you ever moved while you owned a pet?	Yes No
What happened to it?
Is your yard securely fenced?	Yes No
What type of fencing do you have around your yard?
How tall is the fence around your yard?	feet
Do you have acreage?	Yes No
How many acres?
Is your acreage securely fenced?	Yes No
What type of fencing do you have around your acreage?
How tall is the fence around your acreage?	feet

Training

Have you housetrained a dog before?	Yes No
How?
Have you ever completed an obedience class with your dogs?	Yes No
How long do you expect house training to take?
Do you expect to take this dog to an obedience class?	Yes No
Where?
Do you know how to establish yourself as "leader of the pack"?	Yes No
Have you ever used a crate with your dogs?	Yes No
If this dog develops problems (chewing, scratching, etc), what measures will you take to solve the problem?

Pet Care

Where will the dog be kept while you are at work or away from the home?
Where will the dog sleep at night?
Pyrs bark loudly & if in an urban area, are you willing to keep the dog in at night?	Yes No
When will the dog be outside?
For how long?
Who will care for this dog when you travel?
Are you willing to provide annual veterinary checkups, vaccinations, monthly heart worm medication and city licenses?	Yes No
Are you financially prepared to take care of an ill or injured dog or one that is found to have a chronic medical problem after adoption?	Yes No
Great Pyrenees shed heavily all year. Will this be a problem in your household?	Yes No
Have you ever given up an animal for adoption?	Yes No
Why?
What did you do with it?
Are you willing to give a dog at least two months to adjust to you, your family and his new environment before you would even consider not keeping him?	Yes No

Personal References - not a relative and not living with you

	Reference Name (required)	Street Address	City, State, Zip	Phone # (required)
1
2

You and TGPR

Have you ever adopted or applied to adopt a pet from TGPR? If yes, when?
Where did you hear about Texas Great Pyrenees Rescue, Inc?
Is there a dog in our program you are interested in?
Would you like to volunteer with TGPR? Foster a dog for TGPR?

Volunteering includes such tasks as transporting dogs, visiting shelters to identify a dog that appears to be a Great Pyrenees, helping at adoption days or other special events, returning phone calls and/or email inquiries, etc. Or, let us know if you have a talent that may benefit TGPR.

Release

I give permission for a TGPR representative to visit my home prior to adoption to do a home check and after adoption to do follow up checks, with notification, on my adopted pet if deemed necessary by a TGPR representative.

By submission of this application, I assert that all statements and answers given on this application are the complete truth. I give permission for a TGPR representative to verify that the information is true and correct. If any of the information changes, I will advise TGPR promptly. Any misrepresentation of the truth in this application will invalidate any subsequent agreement and will give TGPR the right to reclaim the adopted pet.

I hereby give TGPR and any other sanctioned rescue group or organization permission to use the above information for the purposes of determining suitable animal placement. This form is a legal document and becomes property of TGPR upon submission.