Contact Info:
This field is required LOL:
*
Name:
*
Email:
Address:
City:
State:
Zip:
Phone:
Mobile / Work:
Best Time to Call:
Reference:
Personal Reference (not a relative):
Relationship:
Phone:
Home Details:
Do You Own or Rent Your Home?
Own:
Rent:
If you rent, do you have the landlord's permission to keep dogs?
Yes:
No:
Landlord's Name:
Phone:
Which Best Describes Your Home?
House:
Apartment:
Condo:
Trailer:
Other:
If Other, please describe:
Years Lived at This Address:
If less than one year, please give previous address:
Do You Have a Fenced-In Yard?
Yes:
No:
If Yes, what type of fence?
Height:
Do You Have a
Completely Enclosed
Kennel Run?
Yes:
No:
If Yes, what type of fence?
Height:
How Many Adults in Household?
How Many Children in Household?
If you have children, list their ages and genders:
Are there visitors to your home (human or animal) with which your new dog must get along?
Other Pets:
Do You Own Other Dogs?
Yes:
No:
If Yes, are they Spayed / Neutered?
Give breed, sex, and age of each dog:
Do You Own Cats?
Yes:
No:
How Many?
Do You Own any Other Animals? Explain:
Do You Have a Regular Veterinarian?
Yes:
No:
Vet's Name:
Phone:
Address:
How Many Dogs Have You Owned in the Last Five Years?
List Breeds:
If you do not still own them, what happened to them (be specific)?
Your Rescue Dog:
Have You Owned a
Great Pyrenees Before?
Yes:
No:
Why Did You Choose This Breed?
Check Your Plans for This Dog:
Companion:
Guard:
Obedience:
Other:
Choose Your Preference:
Male:
Female:
No Preference:
Age Preference, If Any?
Where will the dog spend the day (check all that apply):
Indoors:
Crate:
Garage:
Fenced Yard:
Kennel:
Other:
Where will the dog spend the night (check all that apply):
Indoors:
Crate:
Garage:
Fenced Yard:
Kennel:
Other:
How many hours, on average, will the dog spend alone?