Great Pyrenees Club of America: Adoption Application

Please complete all fields

Name:

Address:

3	Location:	City:
		State: ZIP:

4	Daytime phone number:
4	Evening phone number:

E-mail address:

Type of residence:

House Apt. Condo
Townhouse Trailer

7	How long at present address?	Rent* Own
7		*If renting, you will need to provide landlord's written permission to adopt a Great Pyrenees

Please list names and ages of all people who will be living with the dog:

9	If you have children, are you willing to accept the additional responsibility of a Great Pyrenees?	Yes No

	If you have no children now, are you planning on children in the future?	Yes No

10	Are you willing to teach the children the proper way to handle and respect a live animal?	Yes No Not Applicable

	Please elaborate:

What other breeds have you considered?

12	Have you applied to other RESCUE groups?	Yes No

	If yes, which groups? (Please understand not all RESCUE groups are created equal. We each have our own policies, and encourage you to ask questions.)

Why would you like to own a Great Pyrenees?

Have you and your family discussed whether your lifestyle is such that you have the time and energy to properly care for a Great Pyrenees? Please explain:

15	Do you fully understand and accept the fact that a Great Pyrenees must never be allowed off leash unless within a fully fenced, secure area, and then never left unattended?	Yes No

	Do you also understand that no amount of training can ever ensure that a Great Pyrenees can safely be off leash or unconfined, and that not strictly adhering to this restriction will place your dog at serious risk of injury, or even death?	Yes No

What would you do if your dog(s) got away and became lost?

17	Have you owned other dogs before?	Yes No

	If so, list breeds:

18	Have you ever had to give up a dog before?	Yes No

	If yes, please elaborate:

19	Have you ever had a pet die at an early age or die due to an accident/mistake?	Yes No

	If yes, please elaborate:

20	List other pets you currently own (Please include breed, age, sex, and whether or not they are spayed/neutered.):

	Do any of your current pets have characteristics that Pyr Rescue should be aware of?

21	If you have other animals, are you prepared to spend the appropriate amount of time required to accustom them and the new dog to each other?	Yes No

	Please elaborate:

Name, address, and phone no. of most recent veterinarian (if you previously owned any pets):

Do you agree to take your pet to your veterinarian annually for full vaccinations, heartworm test, fecal analysis, and exam?

Yes No

Is someone home during the day?

Yes No
Work hours:

Where will the dog be kept during the day?

Where will the dog be kept during the night?

Where will the dog be kept when nobody is home?

How many hours will the dog be outside alone?

29	Do you have a fenced yard?	No Yes Type: Height:

	If your yard is not completely fenced, how do you plan to contain your dog to your property?

What will you do to ensure that children will not open a door or gate, allowing the dog to escape?

Are you aware that Great pyrenees shed, are notorious barkers, diggers, and willful animals, and mst be confined within a fenced area (or on a leash) to prevent them from exercising their powerful instinct to establish and patrol a large territory?

Yes No

Are you aware that the yearly maintenance of a dog is approximately $400 (not including food or grooming)?

Yes No

Are you aware that Great Pyrenees should be groomed / brushed at least once a week?

Yes No

Please describe plans for care of your dog while you are away (e.g. vacation, business travel, etc.):

35	Are you willing to obtain a crate and crate-train your dog?	Yes No

	If no, why not?

36	Most groups require all adopted Pyrs be enrolled in obedience training. Do you agree to complete this requirement for any Great Pyrenees rescue dog you may adopt?	Yes No

	If no, why not?

37	Do you have the time to house train a dog, if necessary?	Yes No

	Please describe your house-training method:

What would you do if your dog bit somebody?

What would you consider unacceptable canine behavior(s) which would cause you to give up your dog?

What is your method of disciplining a dog?

Are you willing to have a Great Pyrenees Rescue Representative visit your home by appointment?

Yes No

Have you and your family considered that a Great Pyrenees generally lives to be 10 to 12 years old? (Note that many are living to 13, 14, and even 15 years.) Given that an adopted Pyr is a family member, are you comfortable with having to provide the type of geriatric care that a 'senior citizen" may need? Please describe how you will handle your dog's old age. Are you willing to accept that committment? Please explain:

Do you understand that dogs must always be monitored when interacting with children, adults, and other pets, no matter how nice the dog?

Yes No

Do you understand that no matter how much these dogs are evaluated by their temporary care families, they usually come with "baggage" we don't know about, and that the transition may take weeks or even months?

Yes No

Have you and your family discussed the pros and cons of owning a Great Pyrenees? Elaborate:

Explain how and why a Great Pyrenees will fit into your family and lifestyle. (Feel free to include any further information you feel will help us in evaluating your application:

I / We certify that the information contained in this application is true and correct, and further authorize the Great Pyrenees Club of America to contact any and all references, in order to verify the information provided in this Adoption Application.

Signature:
Signature:

(For purposes of this application, printing your name in one of the spaces above constitutes a signature.)

Thank you for your cooperation. This comprehensive questionnaire helps us in placing the right dog with the right family. An improper placement, or one in which all the details aren't known, can end tragically � usually for the dog. Thanks again, and we look forward to meeting you in the near future.

WE RESERVE THE RIGHT TO REFUSE OR DENY ANY APPLICATION.

Great Pyrenees Rescue Adoption Application

Great Pyrenees Rescue
Adoption Application