Adoption Application

Fill out the following information (bold fields are mandatory) and click 'Submit'.

First Name:
Last Name:
Address 1:
City:
State/Province:
Zip Code:
Email Address:
Home Phone:
Business Phone:
Dog #1 - Breed:
Dog #1 - Age:
Dog #1 - Sex:	Male Female
Dog #1 - Altered:	Yes No
Dog #1 - Still Living:	Yes No
Dog #2 - Breed:
Dog #2 - Age:
Dog #2 - Sex:	Male Female
Dog #2 - Altered:	Yes No
Dog #2 - Still Living:	Yes No
Dog #3 - Breed:
Dog #3 - Age:
Dog #3 - Sex:	Male Female
Dog #3 - Altered:	Yes No
Still Living?:	Yes No
Dog #4 - Breed:
Dog #4 - Age:
Dog #4 - Sex:	Male Female
Dog #4 - Altered:	Yes No
Dog #4 - Still Living?:	Yes No
Are all of the above dogs that are living still in your home?:	Yes No
Are your pets up to date on all vaccinations?:	Yes No
1. I would like to adopt a Pyr for: (Check all that apply):	Protection Breeding Purposes Kids Companion Gift Guard Dog
2. Number of Adults in Home:
Number of Children in Home:
Ages of Children in Home:
3. Which members of your family will feed/care for the Pyr?:
4. Does anyone in your home have an allergy to dogs?:	Yes No
5. How many hours a day will the dog be alone:
6. I live in:
I:
7. Fence Height:
8. Fence Type:
9. During the day, the Pyr would be in the (e.g.. house, yard, garage) :
10. During the night the Pyr will sleep::
11. Are you willing to have a home check before adoption?:	Yes No
12. Are you aware that the vet bills for routine care of a Pyr may cost between $100 and $500 or More per year?:	Yes No
13. Name, address and phone number of current or last veterinarian: :
14. Do you realize that Pyrs shed profusely (especially during the summer months), often drool or slobber, and can be prone to hip problems?:	Yes No
15. Are you aware that when you adopt a Pyr, you are taking on the responsibility for its lifetime, which may be up to 14 years?:	Yes No
16. Have you owned a Great Pyrenees before?:	Yes No
If yes, what happened to the dog?:
17. Sex Preferred:	Male Female No Preference
18. Are you aware that we request an adoption fee for each adoption, to help cover expenses incurred in readying dogs for adoption? :	Yes No
19. Are you willing to pay? :	Yes No
20. Are you willing to pick a dog up directly from a shelter?:	Yes No
Comments: