Shewana Stars Adoption Application

First Name

Last Name

Street Address

Address Line 2

City

State

Zip Code

Best phone number to reach you

Email Address

Best time of day to call you?

Type of residence

We do most of our correspondence via email. Please check your email regularly after submitting an application. If you cannot leave an email address, it may take longer before you are contacted, as our adoption coordinator will be returning calls between the hours of 5:00PM - 9:00PM Monday - Friday and during the day on weekends.

How many adults live in your home?

How many children?

Please provide their name(s), age(s), and relationship in the box below.

Do any children visit your home?

Yes

No

Do you rent or own?

If you rent or lease, your landlord will be contacted and a copy of the lease showing pet allowance will be required before adoption is finalized.

Landlord's Name

Landlord's Phone Number

(Please notify your landlord that we will be contacting him/her.)

	Employement History
Where do you work?
Location?
Length of Employment

Please list two personal references

	Reference One	Reference Two
Name
Relationship
Address
Phone:

(Please notify your references that we will be contacting them.)

What pets already reside in your houehold. Please list them in detail.

Do you have a regular veterinarian?

Yes

No

We will contact your veterinarian for reference, so please fill in all information as requested below.

	Vet Info
Primary Veterinarian's Name
Clinic/Hospital's Name
Address
City
State
Phone Number

If you do not have a regular vet, you will be asked to obtain one before the adoption is finalized.

Are your pets spayed or neutered? (dogs/cats)

Yes

No

If not, please explain.

Can you provide proof of vaccinations and required licenses?

Yes

No

What product do you use to prevent Heartworm?

What product do you use to prevent Fleas & Ticks?

Do you now, or have you ever owned a German Shepherd Dog before?

Yes

No

If Yes, please tell us something about the German Shepherd Dog(s) that you have owned?

If No, please tell us why you are interested in adopting a German Shepherd Dog at this time. What brings you to our breed?

Are you interested in any specific dog(s) that are in our program?

Yes

No

Name of the dog

Why? Please Explain

What are you plans for your new German Shepherd Dog? It is very important to us that we get a "feel" for the "dream" you have of owning a GSD.
What are you hoping to get in return for providing a new home for one of our adoption candidates? In your own words, please describe your expectations. Give one example of time spent with your new friend.

Please tell us where you plan to keep your new dog?

As primarily Kennel Dogs, our Dogs are well suited to acclimating to climate changes and seasonal demands so long as adequate shelter, proper nutrition and health care are provided.

As a condition of Placement, the Shewana Stars Adoption Program Team reserve the right to inspect all homes, grounds, or other facilities prior to approving any adoption request. If you do not find this condition acceptable, you will not be eligible to adopt a dog from this program. NO EXCEPTIONS!

It is very important for us to know our prospective adopters and their families. Please tell us a little about you and yours. In this way, we can better place the best dog with the most appropriate owner.

Does any member of your family or household have special needs or circumstances? Please explain.

If, for any reason, you should find that you cannot provide the appropriate care for your adopted Shewana Star GSD, you must, as a condition of Adoption Contract, agree to return the said dog directly to our kennel located in Harvard, Illinois as quickly as possible. No refund of the adoption fee will be given. No transfer of ownership to another owner will be allowed without specific written permission of the Shewana Stars Adoption Team. NO EXCEPTIONS!

Thank you for taking the time to complete this application. Your answers to these very important questions will pemit us to more effetively match your needs with available dogs in our program.

Release: By submitting this document, you are stating that all the information given herin is accurate and complete and that you are hereby giving your consent for the Shewana Stars Adoption Team to verify any and all information contained herein. The completion of this form doe not entitle you to any guarantee or rights. Neither Shewana Stars Adoption Team, nor Shewana Shepherd and its owners, will be held liable in any way, for any dog, or its actions, once the dog has been placed.

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