First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
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Email*

Home Phone*

Work Phone
x

Cell Phone*

Alt Email*

Thank you for your interest in one of our rescue dogs, please be advised we currently adopt out to Western states including Idaho, Washington, Oregon, Arizona, New Mexico & California. We will also consider Colorado, Wyoming, Montana, Utah, Nevada, and Canada on a case by case basis.

Please list your age:*

What is your occupation? Please state also if full-time or part-time, retired or student.*

Secondary Applicant's Name:*

Secondary Applicant's Age:

Relation to the second applicant:*

What is the second applicant's occupation? Full-time, part-time, retired? *

List ALL members' names & ages currently residing in the same household (including roommates if any):*

List other visiting children with age and visiting frequency*

Does anyone in the home have special needs? Please describe.*

Do you want to foster or adopt?

How did you hear about us? (IF on a computer, please hold the "Control" key down while selecting multiple options.)
Choose all that apply: GPPR Facebook GPPR Website Instagram National Great Pyrenees Rescue Petfinder Referral Twitter

If others, please describe.*

Do you rent or own your home?

In what type of home do you live?

How long have you been living in the current address?*

If rent, please provide your landlord's NAME for the record and verification.

If rent, please provide your landlord's PHONE NUMBER for the record and verification.

If rent, have you received the approval of your landlord to have a large breed dog? (Great Pyrenees typically weight at least 85lb and stand at least 26in tall)

What is your Veterinarian's name?*

What is your Veterinarian's Phone Number?*

Is your yard fenced?

We require secure visible fencing. What is the type and height of the fence? *

Do you currently have or have you had any pets in the past 5 years?

Please give us information on each animal separately. Please choose the type of your first animal.

Dog's NAME, BREED, AGE, and GENDER:

Is this pet spayed / neutered?

If not spayed/neutered, please provide explanation.*

Where did you get this pet?

Do you still have this pet? If not, what happened to it?

Please choose the type of your second animal:

Please enter your second pet's NAME, BREED, AGE and GENDER:

Are these animals spayed or neutered?

If not spayed/neutered, please provide explanation.

Where did you get this pet?

Do you still have this pet? If not, what happened to it?

Please choose the type of your third animal:

Please enter your third pet's NAME, BREED, AGE and GENDER:

Is this pet spayed or neutered?

If not spayed/neutered, please provide explanation.

Where did you get this pet?

Do you still have this pet? If not, what happened to it?

If you have other additional pets, please list them here - and include their names, breeds, ages and genders:

Do you have regular animal visitors with whom your dog must get along? Please describe the breed, gender, age, and personality. *

If it has been longer than 5 years since you have owned a dog, please provide detail of your previous dog-owning experience.*

Please list the large breed dogs you've had AND your experience with them.*

Have you given up or re-homed a pet in the past? If yes, please explain*

If you are applying for a puppy (up to 10 months old), do you have a medium to large size, playful dog at home?*

If applying to adopt a puppy, please explain your philosophy on whose responsibility is it to make sure a puppy that is 10 months old or younger does not grow up to be aggressive?*

If you were approved to adopt a puppy (up to 10 months old) from GPPR would you return the puppy if the puppy became aggressive as an adult?

Please describe your socialization strategy to integrate a puppy or rescued adult (How to train and expose your dog to various situations, people, and animals):*

Describe your past experience in training for desirable behaviors and managing unwanted behaviors? *

Have you attended obedience class or worked with a dog trainer before?

Have you crate-trained your dogs before? Was it successful? *

Are you aware that Pyrenees have a tendency to bark and roam if not securely fenced?

Describe your exercise plan for the dog.*

What other particular activities do you plan to experience with the adopted dog? *

Please list any expectations you may have for the dog (ie: service dog? livestock guardian dog? family pet? combination of any of those?)*

If you answered "Other" in the previous question, please describe the role here.

Are you willing to housebreak a dog?

If your dog requires expensive medical treatment, are you willing and able to provide it? (According to AKC, the first year for a large/giant breed dog can cost up to $3000 including food, supplies, preventative care, vet visits, one illness) Yes/No/Don't know*

Where will the dog sleep?*

Where will your dog be kept when you are at the home?*

Where will your dog be kept when you are not at home?*

How much time will the dog spend WITHOUT human interaction during the day?*

What level of activity for the dog would best suit your family?(Low: a slow stroll through neighborhood; Medium: a few hours of playing, physical activities; High: Always ready for physical activities)

Would you consider a dog with special needs such as blindness, deafness, physical limitations, etc.?

Do you have a Gender and/or age preference? If so, what is your preference?*

Have you SUCCESSFULLY MANAGED the following behaviors: (Yes/No/Does not apply): Counter Surfing

Successful with housetraining accidents?

Successful with leash reactivity?

Successful with inappropriate chewing?

Successful with excessive barking?

Successful with fence jumping or barrier reactivity?

Successful with chasing cats or other smaller pets?

Successful with separation anxiety (whining, destructiveness or acting out when left alone)

Successful with shyness or aggression toward strangers?

Successful with aggression toward other dogs?

Successful with resource guarding

Successful with digging in the yard or flower beds?

What three qualities are most important to you in your new dog?*

List other nice-to-have qualities.

Describe dog behaviors or characteristics that you find challenging. *

Describe the most likely scenario that would cause you to return the adopted dog.*

Describe the most challenging behaviors you experienced with your dogs and how you managed them. *

Have you applied with other rescues?

What is the name of the dog you are interested in?*
Choose an animal: Birch Bolt Cabo Della Emmy Jasper Katy Miles Rhodie Tarzan

What is your second choice for the dog you are interested in?*
Choose an animal: Birch Bolt Cabo Della Emmy Jasper Katy Miles Rhodie Tarzan

Please list any anticipated major changes in the next 6 months (new baby, relocation, additional new pets, job change...etc.)*

Please add anything that you think we should know here:

By submission of this application I attest that the information provided on this application is true and accurate to the best of my knowledge. I understand that completion and submission of this application does not guarantee adoption of a dog from the Great Pyrs and Paws Rescue (GPPR). I hereby permit Great Pyrs and Paws Rescue (GPPR) to contact my Veterinarian(s) and Landlord, if applicable. Please contact your vet as soon as possible to give them your permission for the vet's office to discuss your vet records with our rescue. We will be sending email to the email address listed on this application. Please check your spam filter in case it gets misdirected. Please initial here: *