First Name
Last Name
Middle Initial
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail

What do you do for a living?

Reason for wanting a dog:

Have you ever had a rescue dog before?:

Yes No

Sex type:

Do you want a male?
Do you want a female?

Reason for male or female:

What is your preference in age and why?

House Pet?:

Yes No

Hunting?:

Yes No

If yes, do you have hunt training experience?:

Will you do obedience training?:

Yes No

Have you owned a GSP before?:

Yes No

Other sporting dogs owned:

Other breeds owned:

Current pets:

Do you have cats?:

Yes No

How far will you travel to adopt?:

How long will you wait for the right dog?:

Is adopting a GSP a family decision? If no please explain:

Names and ages of family members, particularly children:

Do you plan on having (more) children in the future?:

Yes No

Is someone home during the day?:

Yes No

How much time would the dog be alone per day?

Will someone take time off when the dog first comes home?

Yes No

Where will the dog live?:

Where will the dog sleep?:

Size of your yard:

Is your yard fenced?:

Yes No

If yard is fenced, what type of fence and how high:

If no, would you be willing to build a fenced yard?

Yes No

Would you consider an electric fence?:

Yes No

Do you own a dog crate? If no, would you be willing to buy one?:

Current or prior veterinarian history for reference:

Vet contact information:

Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail
URL

Are you willing to deal with any health isssue that may occur later in the dogs life?:

Yes No

If no, what are your reasons:

Do you intend to have a single or multiple dog family?:

Who is going to be the primary caretaker of the dog (feeding, walking, vet trips, etc)?

What brand of food will you feed the dog?

Do you have a color or coat preference for your GSP?

What size of dog are you interested in?

Under 40lbs
40-60lbs
60lbs+

Is there a specific dog on our site you're interested in?

Please add any additional comments that may help us find the right dog for you:

How did you hear about our organization?

---

German Shorthaired Pointer Rescue of Wisconsin.
Copyright © 2006. All rights reserved.
Revised: 04/26/07.