First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
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Email*

Home Phone*

Work Phone
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Cell Phone*

Alt Email

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If you're interested in a specific dog, which one?
Choose an animal: Bear Bronx Charlie Colby Daisy Delta Fin Hailey Harley Hawkeye [Medical] Hazel Grace Izzy Jasmine Katy Kobe Luna Mira Molly Noel Nova {Whelping Hold] Nova's Litter Quinn River Sambra Sherlock Teddy Willow Willy Xander Ziva

IF YOU'RE INTERESTED IN A SPECIFIC DOG: There is a possibility that the dog may not be a good match for you, or may have other previously-approved adopters ahead of you in line. OUR GOAL IS A GREAT MATCH FOR YOU AND YOUR FAMILY, AND FOR THE DOG. We work hard to find that match for you. Are you willing to consider other dogs and work with us to find the best match for you?

Why do you want to adopt a dog at this time? *

What are you looking for in a dog?

Describe your household activity level. Are you a very active family (hiking, camping, running, etc)? Are there lots of people, activity, visitors, coming and going? Is it a fairly quiet household with somewhat limited activity? Etc.*

What traits would you find undesirable or unacceptable in a dog? *

Will the dog be kept inside or outside? *
Choose one: Inside Only Outside Only Inside and Outside

How much time will the dog spend alone during the day?*

Approximately how many hours will the dog be crated/kenneled each day? *

Where will the dog be kept when you're home? *

Where will the dog be kept when you're not home? *

Where will the dog sleep? *

Where will the dog be kept while you're on vacation or traveling? *

List the names AND ages of each person in your household. INCLUDE YOURSELF.*

Who in the household will care for the dog? *

What brand of food do you use / plan to feed? *

What Vet do you plan to use? If you currently have a vet, please list the clinic's name, address, and phone number. If you don't currently have a pet, but have in the past, please list the vet you've used most recently. If you've never had a pet, please tell us what vet you plan to use and why. (NOTE: We do check vet references to check your pet's medical status such as altered, current on shots, use of heartworm preventative.)*

Please give us 3 personal references who can tell us something about you as a pet owner. Please don't list vets, relatives or members of your household. Suitable references include friends, co-workers, neighbors, teacher/clergy, dog boarding/training facility staff, etc. List each by full name and and give us a working phone number with area code. (NOTE: we do contact all references listed.) *

Please list -- by name, age, and breed -- all the pets that members of your household have had as adults. What happened to each one?*

Have you ever given up a pet, put a pet down, or had a pet disappear or die at an early age? If yes, please tell us what happened. *

What would cause you to give up this dog? *

Please list all pets you currently own. Include name, approximate age, general size, and breed/species. *

Does your dog have any behaviors or tendencies that could cause problems if they live with other dogs? IF SO, WHAT ARE THEY? [examples = pushy over food, jealous of affection, possessive of bedding or toys, rough play, don't want other dogs in their face or space, high energy, etc] *

Are your current dogs and cats spayed or neutered? If not, why? *

Are all of your current dogs current on heart worm preventive? *
Choose one: Yes No

What type of home do you live in? *
Choose one: Single Family Duplex Apartment Townhouse Condominium Mobile Home Military Housing

Do you own or rent your home? *
Choose one: Rent Own

If you rent, have you gotten the approval of your landlord to have a large dog, and in particular a German Shepherd?
Choose one: Yes No

If you rent, please give us your landlord's name and phone number. NOTE: before we process your application, we contact your landlord/rental manager to verify pet policies (i.e. breed restrictions, weight restrictions, etc.)

Is your yard fenced? *
Choose one: No Yard Unfenced Yard Partially Fenced Completely Fenced

What is the height of your fence?

What type of fence do you have?
Choose one: Privacy Chain Link Invisible Other (cattle fence, split rail, decorative, etc)

If you do NOT have a physical fence and/or have an electronic fence: what is your plan to give the dog adequate exercise and still keep them safe from escaping? Please be specific.

Are you agreeable to a home visit as part of the process? *
Choose one: Yes No

What would you do with this dog if you move? *

If you did or had to move for work -- or any other reason -- what is your plan for this dog? What would you do if you could not take the dog with you? *

Does anyone in your household have allergies?
Choose one: Yes No

If so, who has allergies and what are they allergic to?

Is anyone in the home elderly or infirm? Would anyone be at risk of being knocked over by a large dog?
Choose one: Yes No

Is there anything we should know about the members of your household and how they relate to animals / dogs?

Is adopting this dog completely agreeable to everyone in the household? *

Is there anyone else outside your immediate household who will play a significant role in the dog's care/life? Such as a relative who's there a lot, etc? Who are they, what will their role be, and are they in agreement with the plan to get this dog? Will they need to meet and approve of the choice of dog?*

Please tell us about other visitors to your home with whom the dog will have to interact (human and animal). *

Do you have the time and resources to adequately train & care for this pet? *
Choose one: Yes No

Are you willing to go through training with your dog if necessary? *
Choose one: Yes No

TRAINING and/or GSD EXPERIENCE: please describe your experience as a pet owner / trainer and how you will train the dog. Include any experience you've had with GSDs or related breeds such as Belgian Mals, Dutch Shepherds, etc. *

What is your plan and ability to provide exercise and activity for this dog? *

How much do you expect to / are you willing to spend per year? *

Are you aware the average annual expenditure on a dog can be over $1,000 per year? (for food, care, vets, etc). *
Choose one: Yes No

Are you willing to deal with problems during an adjustment period - things such as chewing, digging, housebreaking issues, mouthing, etc? *
Choose one: Yes No

What problems or issues are you NOT WILLING TO DEAL WITH? *

Are you willing to deal with problems that may develop later (health issues, behavioral issues, etc...)? *
Choose one: Yes No

In the event you have a medical emergency, health condition or death that results in you no longer being able to possess and/or care for the dog/puppy, what is your plan for care of the dog/puppy?*

DO YOU AGREE TO MAKE A LIFELONG COMMITMENT TO THIS DOG? (12-14 years or more) *
Choose one: Yes No

How did you hear about us? *

If approved to adopt, are you willing to travel to where a dog is being fostered to meet him or her? (Most of our foster dogs are in the Kansas City, MO area, or a few other outlying areas). You will be required to bring any current dog, as well as all members of the household. *
Choose one: Yes No

Have you applied with any other rescues? *
Choose one: Yes No

Comments: Please tell us anything else that will help us better understand you, your circumstances, your lifestyle, your approach to training a dog, the dog's place in your family, etc. *

I understand that I am not guaranteed adoption of my requested dog, and will be placed on a Wait-List in date order of the date my application is submitted once approved. *

I understand that the Application Fee is non-refundable, regardless of whether the application is cancelled, withdrawn or declined. *

I understand that, if I am matched for a Meet & Greet, I am REQUIRED to travel to a location specified by MOGS, will all family members, as well as all dogs currently living in my home. *

I certify that the information entered on this applicant is true. Enter your name and date: *