[ YOU AND YOUR IMMEDIATE FAMILY ]
Your full name:
Street address:
City:
County (not country) :
State:
Zip:
Home phone:
(we require a home phone number, not just a cell phone number)
(please type in your area code and phone number )
(
)
-
Work phone:
(please provide a work phone number for you or your Spouse or Partner)
(please type in your area code and phone number )
(
)
-
ext.
Cell phone:
(
)
-
Emergency phone:
(please furnish a separate emergency phone number where we can reach you)
(please type in area code and phone number )
(
)
-
Email:
Please Confirm Email:
Fax:
(if available )
(
)
-
Your age:
(must be at least 21 years old )
Your Occupation:
How much experience have you had handling and caring for a giant breed dog or a small breed dog ? (German Shepherds, Rottweilers, Dobermans, Labradors, other Retrievers, and other working breed dogs are not giant breed dogs or small breed dogs . They are medium breed dogs ). PLEASE DO NOT INCLUDE YOUR EXPERIENCE HANDLING AND CARING FOR ANY BREED OF DOG OTHER THAN A GIANT BREED DOG OR A SMALL BREED DOG .
Please provide as much detail as possible. If none, state "None."
[Note: Experience with giant breed dogs and small breed dogs is not necessary to qualify to adopt ]
Do you have a Spouse or Partner? (yes or no):
Yes
No
If so, their full name:
Your Spouse or Partner's age:
Your Spouse or Partner's occupation:
If none, state "None."
How much experience has your spouse or partner had handling and caring for a giant breed dog or a small breed dog ? Please provide as much detail as possible. If none, state "None."
[Note: Experience with giant breed dogs and small breed dogs is not necessary to qualify to adopt ]
Name and Age of each child (under 21 ) of each Child living in Your Home?
If none, state "None" in the first box.
Will you and each person, including adults and children, living in your home attend your adoption appointment if you are approved? (yes or no):
(All adults and children living in the same home MUST attend the adoption appointment )
Yes
No
If no, provide the name of each person who won't attend and explain the extenuating circumstances why:
(a really good reason is required )
How many days each week do you work?
0 - 2 days
3 - 4 days
5 days
6 days
7 days
How many hours each day on average are you away from your home working?
0 - 2 hours
3 - 5 hours
6 - 8 hours
9 hours
10 hours or more
How many days each week does your spouse or partner work?
0 - 2 days
3 - 4 days
5 days
6 days
7 days
How many hours each day on average is your spouse or partner away from your home working?
0 - 2 hours
3 - 5 hours
6 - 8 hours
9 hours
10 hours or more
What is the MOST number of hours each day that your adopted Gentle Giant or Little Giant will be left alone when you or your spouse or partner are away from your home?
(We do not adopt our youngest puppies - under 7 months of age - into homes where the adopter(s) are gone for more than 2 hours - it isn't safe for the puppy )
0 - 2 hours
3 - 5 hours
6 - 8 hours
9 hours
10 hours or more
Are you willing to install a large "doggie door" so that your Gentle Giant or Little Giant can go outside when he/she needs to go to the bathroom and come back inside your home whenever he/she wants to? (yes or no):
("Doggie doors" are available for all types of doors, including sliding glass doors)
Yes
No
If no, please explain why:
Will your adopted dog be able to come back inside your home whenever it wants to?
Yes
No
If no, please explain why:
[OTHER PEOPLE LIVING IN OR VISITING YOUR HOME ]
Is there anyone else besides a Spouse or Partner and children living in your home? (yes or no):
Yes
No
For each such person living in your home, besides your Spouse or Partner and your children, please provide their name, their age, their relationship to you, and their experience, in detail, handling and caring for a giant breed dog or a small breed dog:
If none, state "None."
Do you have any roommates or other families living in your home?
Yes
No
Will each such person living in your home, besides your Spouse or Partner and your children, be able to properly take care of your adopted Gentle Giant or Little Giant while you are away, including feeding, giving it fresh water, and walking the dog or letting it out to go to the bathroom? (yes, no, not applicable ):
Yes
No
not applicable
Will each such person living in your home, besides your Spouse or Partner and your children, be able to handle an emergency, including taking your Gentle Giant or Little Giant to a veterinarian or to an Emergency Animal Hospital if the need arises? (yes, no, not applicable ):
Yes
No
not applicable
Will there be anyone else visiting your home while you and your spouse or partner are away during the day or during the evening? (yes or no):
Yes
No
If so, for each such person visiting your home, please provide their name, their age, their relationship to you, and their experience (if you know it ) handling and caring for a giant breed dog or a small breed dog:
If none, state "None."
Will that person visiting your home be able to properly take care of your adopted Gentle Giant or Little Giant while you are away, including feeding, giving it fresh water, and walking the dog or letting it out to go to the bathroom? (yes, no, not applicable ):
Yes
No
not applicable
Will that person visiting your home be able to handle an emergency, including taking your Gentle Giant or Little Giant to a veterinarian or to an Emergency Animal Hospital if the need arises? (yes, no, not applicable ):
Yes
No
not applicable
How many hours a day on average will that person be visiting your home when you and your spouse or partner are away to take care of your adopted Gentle Giant or Little Giant?
If none, state "None."
Do other people, not living in your home, such as friends, relatives, and/or children have unsupervised access to your home or property? (yes or no):
Yes
No
If so, for each such person having unsupervised access to your home, please provide their name, their age, their relationship to you, their experience (if you know it ) handling and caring for a giant breed dog or a small breed dog, and how often they come to your home:
If none, state "None."
[YOUR HOME ]
Do you live in a:
Is your home multi-level or above ground level? (yes or no):
Yes
No
If so, please describe in detail:
Will your adopted dog be required to walk up and down stairs?
(yes or no):
Yes
No
If so, please describe in detail, including how many stairs there are both inside your home and outside your home, and how often your adopted dog be required to walk up and down each set of stairs:
Do you have any above ground balconies? (yes or no):
Yes
No
If so, how many stories above ground are they and how high are the railings?
Is your home air conditioned? (yes or no):
Yes
No
Is your home heated? (yes or no):
Yes
No
Do you rent, lease or own?:
Rent
Lease
Own
How long have you lived where you are presently living?
If you have lived less than one (1 ) year at your present address, what was the address where you lived before (complete address necessary )? How long did you live there? Did you rent, lease, or own? (please provide details )
If you currently lease, what is the term of your lease?
If you currently rent or lease, do you have limits as to the number of pets and/or the size or weight of your adopted Gentle Giant or Little Giant? (yes, no, not applicable ):
Yes
No
not applicable
If so, what are the limits?
If you own a condominium or a townhouse, do you have Homeowner Association limits as to the number of pets and/or the size or weight of your adopted Gentle Giant or Little Giant? (yes, no, not applicable ):
Yes
No
not applicable
If so, what are the limits?
If you live in a house, do you have a fully-enclosed yard with a fence at least 5 feet tall? (If you live in a house, we cannot adopt to you if you don't have a fully enclosed yard with a fence that is at least 5 feet tall ) (yes, no, not applicable )
Yes
No
not applicable
Is your front yard fenced? (yes, no, not applicable ):
Yes
No
not applicable
If so, how tall is your front yard fence?
What type of fence do you have in your front yard? (chain link, wood, block ):
If none, state "None."
Is your front yard fence completely enclosed so that your adopted dog will be 100% contained? (yes, no, not applicable ):
Yes
No
not applicable
Do you have any poisonous trees or plants in your front yard? (yes, no, not applicable ):
Yes
No
not applicable
If so, are you willing to remove them to protect your adopted Gentle Giant or Little Giant? (yes, no, not applicable ):
Yes
No
not applicable
Is your back yard fenced? (yes, no, not applicable ):
Yes
No
not applicable
If so, how tall is your back yard fence?
What type of fence do you have in your back yard? (chain link, wood, block ):
If none, state "None."
Is your back yard fence completely enclosed so that your adopted dog will be 100% contained? (yes, no, not applicable ):
Yes
No
not applicable
Do you have any poisonous trees or plants in your back yard? (yes, no, not applicable ):
Yes
No
not applicable
If so, are you willing to remove them to protect your adopted Gentle Giant or Little Giant? (yes, no, not applicable ):
Yes
No
not applicable
Do you have a swimming pool in your back yard? (yes, no, not applicable ):
Yes
No
not applicable
If so, is there a separate fence around the swimming pool? (yes, no, not applicable ):
Yes
No
not applicable
If so, please furnish details about the fence around the swimming pool:
If not, since most of our breeds are not swimmers, please explain how you will protect your adopted Gentle Giant or Little Giant from drowning?
(a really good answer is required ):
If not applicable, state "Not Applicable."
[OTHER ANIMALS AT YOUR HOME ]
Describe ALL animals currently at your home (both inside and outside ), including their species, breed, sex, age, whether they are neutered/spayed or not, and their current health.
If you don't have any animals, state "None" in the first box below.
If you have one or more dogs now, do you introduce them to or socialize them with other dogs that they don't know (ie: at dog parks, on walks, going places )? (yes, no, not applicable ):
Yes
No
not applicable
Are your dogs friendly to other dogs? (yes, no, not applicable ):
Yes
No
not applicable
[YOUR CURRENT AND PAST HISTORY OF GIANT BREED DOGS AND SMALL BREED DOGS THAT YOU'VE OWNED ]
Are you a previous/current owner of a giant breed dog or a small breed dog? (yes or no):
Yes
No
If you are a previous/current owner of a giant breed dog or a small breed dog, please provide detailed answers to the following questions:
What was/is the breed of your giant breed dog or small breed dog?
If none, state "None."
Who did you get it from? (person's name, rescue's name, their address, and their telephone number ):
If none, state "None."
When did you get your giant breed dog or small breed dog? (month and year ):
If none, state "None."
Provide a complete history of all your prior and current giant breed dogs and small breed dogs: please provide the name of the breed of each dog, the dogs names, their sex, whether they were neutered or spayed (if so, at what age ), how long you had them and how long they lived. If you had giant breed dogs and small breed dogs that are now deceased, please explain the cause of death for each one:
If none, state "None."
Where is/are your prior and current giant breed dogs and small breed dogs now?
If none, state "None."
[CURRENT VETERINARIAN INFORMATION AND PERSONAL REFERENCES ]
Name , address , and telephone number of your veterinarian :
If none, state "None" in the first box.
Full Name , address , and telephone number of two personal references (other than family members ) [Note: Personal References with contact information are required to qualify to adopt ]:
Do the costs of vaccinations, veterinary care, licensing, food, or general upkeep present any financial difficulty for you? (yes or no):
Yes
No
Will you permit an inspection of your home/yard before and after placement? (yes or no):
Yes
No
[YOUR ADOPTION APPOINTMENT AT OUR FACILITY ]
Do you understand that once approved, you will need to come to our facility in Riverside, California (Southern California - 1 hour drive east of Los Angeles ) and bring your dogs with you to adopt your Gentle Giant or Little Giant? (We must meet all potential adopters, and we must introduce your dogs to the dog that you adopt from us - no exceptions ) (yes or no):
Yes
No
Do you understand that when you adopt a dog from us, you will be required to only feed dog food that meets our specifications to your adopted dog for its entire lifetime? Gentle Giants World Class Canine Cuisine does meet those specifications and we highly recommend it. (This requirement may be modified if your veterinarian prescribes a special diet while under medical care ) (yes or no):
Yes
No
How late can we call you in the evening?
Additional comments that you feel that we should consider?
If none, state "None."
Do you certify that all of the above information is true and accurate?
Yes
PLEASE REVIEW YOUR COMPLETED APPLICATION TO MAKE SURE THAT YOUR ANSWERS ARE ACCURATE AND THAT YOU HAVE ANSWERED ALL QUESTIONS COMPLETELY.
If you have a Problem completing and submitting this Adoption Application,
please descibe the problem in an email to adoptions@gentlegiantsrescue.com
and we will assist you in getting your Adoption Application submitted. Thank you.
DO NOT EMAIL THIS APPLICATION TO US.
After you select "SUBMIT" below, you should see a screen thanking you for submitting your application.
You should also receive a separate email acknowledging that we received your application. If you don't see the
"Thank You" screen and if you don't receive a separate email stating that we received your application, then likely
your application was not properly sent and was not received. Be sure to type an answer in every box with a red outline around it and then again select "SUBMIT" below.