General Information

Name

Address

City

State

Zip

E-mail

Daytime Phone 

Evening Phone

Cell Phone

How did you hear about us?

Name of dog:   Male  Female

Color/markings:

Age or Date of Birth (if known or best guess otherwise):

Registered with American Kennel Club?   Yes  No

Do you have the AKC papers?   Yes  No

If you do not have the papers, how do you know the dog is a purebred GSD?

Is the dog spayed or neutered?   Yes  No

Where did you get this dog originally?

Are you the legal owner of this dog?   Yes  No

How long have you had the dog?

Please describe in detail why you need to re-home the dog? 

What have you done so far to resolve this issue?

When do you have to release the dog from your custody?

Tell Us About Your Dog

Is the dog good with children and/or toddlers?  Yes  No  Unknown
Explain.

Is the dog good with adults?  Yes  No
Explain.

Housebroken? Yes  No

Obedience trained? Yes  No

Trained as a guard dog? Yes  No

Is the dog a fence jumper? Yes  No

Good with small dogs? Yes  No  Unknown

Good with large dogs? Yes  No  Unknown

Good with cats? Yes  No  Unknown

Good around livestock? Yes  No  Unknown

Good around other types of pets? Yes  No  Unknown
If yes, what kinds?

Does the dog bark a lot? Yes  No

Does the dog dig holes in the yard? Yes  No

Does the dog chew on inappropriate things inside? Yes  No

Is the dog overly protective? Yes  No

Does the dog bite or tear at fences? Yes  No

Is the dog crate trained? Yes  No

Does the dog get anxiety when you leave him/her alone? Yes  No

Destructive?  Yes  No
Explain.

Has the dog ever bitten another dog?  Yes  No
If so, explain the circumstances.  How bad was the bite?

Has the dog ever bitten a human?  Yes  No
If so, explain the circumstances.

Does he/she like to play ball?  Yes  No

Energy level?  High-energy Laid-back

Does the dog have any medical issues?  Yes  No
Please explain.

Any other comments you'd like to add?

By submitting this application you acknowledge that all the information contained in this application is true and accurate. Any misrepresentations of fact may result in the removal of your name from the owner surrender waiting list. Once submitted a volunteer from the German Shepherd Rescue of Central Colorado will be contacting you within 10 days. Submission of the application is not a guarantee that we will accept your dog. Once we have received you application, we will contact you to determine if or how we may assist you.

Clicking the Submit Button will return you to our website where you will be 
instructed to email us a photo of your dog.