Echo Dogs Adoption Application

Please be advised that there is now a $20 application processing fee for each application submitted.

NOTE: In order for this form to work properly you may need to enable cookies and disable your pop-up blocker if you have one. Please include as much information as possible.

Name of dog(s) you want to be considered for:


Name, Address, City, State, and Zip Code


E-mail address


Phone Number(s) (###-###-####):
Home

Work

Cell

Other

How many persons in your household? (number of adults, number of children, ages of children)


If other chidren visit your home, list what ages and how often?


Is everyone in your household in agreement to add a new pet?
Yes No

Is this pet for you, and will you be the primary caretaker of this new pet?
Yes
No


If not youself, explain below who the dog is for, and who will be its primary caretaker.


Are you willing to submit to a home inspection? Yes No

Have you owned a German Shepherd Dog before? Yes No

Do you currently own any pets? Yes No

Please list all current pets (name, species, breed, age sex, and if the pet is spayed or neutered):

Please explain what happened to all previously owned pets and any circumstances:
(i.e. Died from, gave away because, etc)

Do you have any preference as to the sex of your new Echo Dogs White German Shepherd?
None
Male
Female

Do you have any preference to the color of your German Shepherd? (White, Black & Tan, Doesn't matter)

Would you consider adopting a mix breed White German Shepherd?
Yes No

What age range would you consider adopting: (under 6 mo, 6 mo. to 3 yrs, 3-6 yrs, 7 yrs. & up, or any age)
 Under 6 Months
 6 months - 3 Yrs.
 3yrs. - 6yrs.
 7+ yrs.
 Any age

Are you aware that German Shepherds can grow rather large (55-100+lbs)? Yes No

Do you know that German Shepherds have a double coat and shed a lot?
Yes No

Explain living arrangements of all your pets and how this new pet will fit in:(Inside, Outside, Both, etc)


Is anyone in your household allergic to pet dander? (yes or no and please explain if yes)

Regarding your residence, do you :
Own a single home
Rent a single home
Own a condo/townhouse
Rent or lease an apartment, condo or townhouse


If you rent or lease are you allowed to have large dogs (55-100+ lbs)?

Yes
No

Do you have a fenced in yard where you reside? If yes, what is the height and what is the fencing material? (wood, chain link, block, etc).  If you answered "no", how will you provide for the dog's exercise?

Approximately how many hours each day will your new White German Shepherd be home alone:
3hrs. or less
more than 3, but less than 6 hrs.
more than 6 but less than 8 hrs.
more than 8, but less than 12 hrs.
more than 12 hrs.

If more than 6 hours or longer, what provisions will you make for the dog to relieve itself and get exercise during your absence?

Please list your current veterinarian or one you have used in the past. (Name, address, phone number, and length of time you have been using this vet.)

If you currently own a dog, is your dog current on Heartworm prevention? (yes or no, and if not, explain why):

Are your pets current on all vaccinations? (if no, please explain why)
Yes
No

Please list the name address, phone numbers (including area code) of, at least, 3 personal references, other than your veterinarian who are not related to you:

How did you hear about Echo Dogs White Shepherd Rescue? (Example: other website, Petfinders, search engine, friend, saw a flyer at..., saw a business card at..., went to one of our events at...). etc)

As a part of the adoption process and before placing any dog, you will be asked to sign a contract in which you agree to certain conditions, such as, but not limited to:

  1. Allowing an Echo Dogs White German Shepherd Rescue adoption agent to visit your home prior to, and after placement of the dog.
  2. Surrender the dog back to Echo Dogs White German Shepherd Rescue, if you violate the contract or are unable to keep the dog for any reason.

Are you willing to sign and be bound by such a contract? Yes No


Echo Dogs requires a $20 non-refundable application fee to complete your application. This fee is deducted from your adoption donation when you adopt an Echo dog.

Please indicate how you will submit your application fee: PayPal Mail

Click below to open a new window to send your $20 application fee using Paypal. When finished return to this window and submit your application with the "SUBMIT" button below.

PayPal - The safer, easier way to pay online!

Click below to submit your application, and if chosen above, mail a check for your $20 application fee. Please understand that your application will not be completed until your check is received.

Send your check to:

Echo Dogs White Shepherd Rescue
PO Box 63 Sherman, IL 62684
Thanks,
Terri Brandenburger-Nelson
Echo Dogs White German Shepherd Rescue


 
 
 
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