Adoption Application | Golden State Great Pyrenees Rescue and Sanctuary

Our LGD training is now available to the public

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Home
- About
What We Do
Adopt
Get Involved
Resources
- Forms
- Blog
Shop
Contact

es

Español

Full Name

Best contact phone number*

Email*

Address where the dog will stay*

Type of animal interested in?

Dog

Cat

Goat

Sheep

Name and/or specie of particular animal you are interested in? If dog, then continue with the form any other animal skip to the Yes/No questions by to signature

Will the dog(s) live separate from you?

Yes

No

Is this in an HOA?*

Yes

No

Do you rent, own, or lease your current home? If you rent, please state the pet rules, and include your landlords name and phone number.

I understand and approve Golden State Great Pyrenees Rescue & Sanctuary to contact my landlord. I will notify my landlord, to give authorization of release of information

Yes

No

Reference 1: please include name, address, phone and relationship to you

Reference 2: please include name, address, phone and relationship to you

Anyone in the household with known allergies to dogs?

What other dogs in the property? Include breed, age, gender and if they are livestock guardians

Do you have Inside, outside or feral cats? Please explain

Are these dogs spayed/neutered? If not, why?

Have you ever surrendered, dumped, abandoned, or rehomed an animal? If so, why?

Have you ever had an animal euthanized? If so, why?

Have you ever lost an animal to an accident? If so, what happened?

Who will have primary responsibility for this dog’s daily care?

Do any of your animals have reactivity or aggression towards other dogs?

How do you discipline your pets and why?

Please list any other animals in your household including cats, livestock and birds and whether the birds free range

Please list your current veterinarian information include, name, address and phone number

I understand and approve Golden State Great Pyrenees Rescue & Sanctuary to contact my veterinarian. I will contact my veterinarian to give authorization to release of information to Golden State Great Pyrenees Rescue & Sanctuary

Yes

No

When you are out-of-town, who will be the primary care giver? Name and Phone

Are you looking for a pet or a Livestock Guardian?

Pet

LGD

Do you have frequent visitors, guest, employees etc in your property? Please elaborate*

Number of dogs you want to adopt?

Gender preference of new dog(s):

Age Preference of new dog(s):

Where will the dog spend the day? (describe)

How big is the area where the dog(s) will be? Is that area fenced? If so, height and type of fencing?

Has any predator attacked any animals? Please explain

Where will the dog spend the night? (describe)

Please provide as much information about the dog, gender, age, personality. trait, etc you are looking for?

Predator types and load?

If need be are you able to separate the pets from the livestock guardians? If no, why?

Are you committed to your dog for his entire life (15+ years)?

Yes

No

Do you agree to provide regular health care by a licensed veterinarian?

Yes

No

Do you agree to contact us if you can no longer keep this dog?

Yes

No

Are you willing to let a representative visit your home by appointment?

Yes

No

All of the information given is true and complete.

Yes

No

I agree that said dog will reside in my home with me. I will provide it with quality dog food, plenty of fresh water, shelter, affection, annual physical examination, and vaccinations under the supervision of a licensed veterinarian

Yes

No

Full name and date

ID/DL State and Number

Adoption Application

Adoption Application

Address PO BOX 250

Lucerne Valley, CA 92356-0250

Opened by appointment ONLY

Monday - Sunday

8:00am to 7:00pm

Email address

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Contact Information

Call or Text: (909) 321-2621
Email: info@adoptapyrenees.org

We are a 501(c)(3) nonprofit organization. Your donation is tax-deductible to the fullest extent allowed by law. EIN: 93-3913107