Adoption Application

I am interested in
Name of Desired Dog*
Tell Us About Yourself
Your Name*
Occupation*
Spouse/Partner Name
Occupation
Street Address*
How long at this address*
State*	Select a state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
City*
Zip Code*
Home Phone*
Best Time to Call*
Cell Phone*
Best Time to Call*
Email*
Have you ever adopted from us before?* Yes No
Please mark your age group *
18-21 22-26 27-32 33-45 46-55 56-70 70+
Do you have children living in the home?* Yes No
If so, ages:
If you have children, please describe their previous experience with dogs
Does anyone in your house have allergies?* Yes No
Residence
Type of Dwelling*	House Condo Apt Motorhome Other
Do you Rent or Own?*	Rent Own
If you rent, do you have your landlord’s permission to have a dog?* Yes No
Is there a size/weight limitation?  If so, what is it?
Landlord’s name and phone #
Previous and existing pets
Do you have a pet/pets now?  If so, how many? Yes No
Type of dogs (please list breeds and ages)
Is your pet/pets neutered or spayed? Yes No
Do you have cats? Yes No
Where did you get your current pets?
Have you ever surrendered a pet to a shelter or rescue group or other?* Yes No
Have you ever allowed an animal to breed?* Yes No
Tell us about the prospective dog
What are your primary reasons for wanting a dog?*
Companion for myself For my kids Gift For other pet Watchdog Other
How many hours will the dog be left alone during the day?*
When you are not home, where will the dog be?*
Full run of house Limited access to certain rooms Access to yard or garage only Playing in outdoor kennel run
Do you have a doggy door?* Yes No
When you are home, will the dog have*
Full run of house Limited access to certain rooms and which ones
Where will the dog sleep at night as an adult?*
Patio Doghouse Dog Run Kitchen Crate Laundry Room Garage Bedroom Anywhere in House Anywhere Outside
Is your yard securely fenced at the present time?* Yes No
Type of fencing and height*
If needed, would you be willing to make adjustments to your fence?*
Are your gates locked?* Yes No
If no locks, would you be willing to install prior to adoption?* Yes No
Do you have a pool?* Yes No
If yes, is it fenced off?* Yes No
Have you ever introduced a dog to a pool?* Yes No
Preferred level of exercise with dog:*	Couch potato Short walks Vigorous walks/hikes
What type of flea control do you use, if applicable?	Frontline Advantage Comfortis Flea spray/bombs None
What brand of food do you feed your current dog (if applicable) ?
Do you have a regular vet? * If so, enter name of vet...
Would you like a referral to a vet?* Yes No
Would you allow your dog to wear a permanent German Shepherd Rescue of Orange County I.D. tag at all times?*
Yes No
When would your dog wear a collar?*
How would you rate your level of dog owning experience?*
First time owner Limited experience Intermediate Advanced Other
How would you train this dog?*
Obedience class Hit with newspaper Firm verbal commands Clicker/hand signals Other (explain below)
Do you plan on using crate training at any time?*	Yes No
What, if any, behavioral issues have you dealt with in the past?*
Dog aggression People aggression Leash aggression Housebreaking Separation anxiety Escaping Fear aggression
Would you be willing to bring in a trainer to help with any problems?*  Yes No
Pets are an investment of your time and money.  Can you afford to provide medical care, grooming, proper diet, shelter and exercise for your new pet?* Yes No
Are you able to make a long-term commitment to care for your pet for its entire life?* Yes No
Who would care for the dog if you go out of town?*
Who would care for the dog if you become ill, injured or hospitalized?*
Have you ever owned a German Shepherd as an adult?*  Yes No
Why are you interested in adopting from a rescue?*
Why do you want to adopt a German Shepherd and why do you think it’s the best breed for you?  Tell us a little about yourself, your lifestyle and how the dog would fit in!!
Home Visit. Prior to any dog going home, we do require a home visit to ensure that your environment is safe and secure. Once your home has been approved, the adoption can move forward. The minimum adoption donation for dogs over 1 year old is $350.00 plus $25.00 for microchip; and $450.00 plus $25.00 for microchip for puppies 1 year and under. This donation only partially reimburses the rescue for the investment that we make in each dog's care. All donations go directly to our dogs. We are an all volunteer, non-profit organization. By submitting this application, you agree that we will be allowed to conduct a home visit before any adoption can move forward.
Please enter the number as it's shown* Submit

 

Our Adoption Process:
Thank you for wanting to make a difference for a dog in need. We look forward to the opportunity to help you choose an ideal new addition to your family. Timing is EVERYTHING when it comes to a successful adoption. Please give long and careful thought to whether or not you are in a position to care for a large breed dog and to commit to its needs for the rest of the dog's life. If you are fortunate, your German Shepherd will live 12-13 years, so before you begin the process, think about where you will be 2, 4, 6 or 10 years from now.

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Adoption Application:
If you are interested in adopting one of our dogs, you may submit an application online or via fax. To make sure that your application is accepted, please make sure you have completed the required* fields. If you choose to send a fax, please download the Adoption Application here in PDF format; fill it out and sign it. You can fax it to us at 714-773-9430. All dogs adopted through GSROC are spayed or neutered, current on their vaccines and de-wormed. Because the minimum adoption donation rarely covers the costs associated with each dog, we ask that adopters who are in a position to give additional funds do so at their discretion.

We also ask our adopters to help us spread the word about the important work that we do. Our adoption donation minimum is $350.00 plus $25.00 for microchip for adult dogs, and $450 plus $25.00 microchip for puppies 1 year and under.

This donation is tax deductible as allowed by law and helps to offset the costs that we have incurred for the dog's care and housing during his or her stay with our group. The minimum adoption donation does not entirely cover the investments that we have made in the dogs, so if you are in a position to give more, we would be honored to receive your additional donation. All adoption donations go directly toward the needs of our dogs.