Copy of Adoption Application

Please copy and paste the application below into an e-mail and send it to dpknatz@optonline.net

Thank you for your interest in adopting a dog through the Shiloh Rescue Network. Please take a moment to read the following guidelines and then, if you agree to them, fill out the application below. You can either reply to this e-mail or send it back to me at dpknatz@optonline.net and I will reply to let you know that I’ve gotten it – usually within 24 hours.

Guidelines For Adopting A Shiloh

The purpose of our adoption program is to place a dog in a responsible home where it will:

	Receive veterinary care when needed.
	Not add to the pet overpopulation problem.
	Be controlled so it will not roam free in the neighborhood.
	Be happy with its owner and the owner happy with the pet.

In order to accomplish this goal, the Shiloh Rescue has established these standards and guidelines. Please read them carefully and make sure that you are willing to abide by them before filling out the Adoption Application below.

1. ADOPTERS WILL ALLOW FOR A MINIMUM OF 30 DAYS adjustment period for the animal to adjust to his new environment and family.

2. ANIMALS WILL BE PLACED WITH ADULTS to be kept as a companion animals. They are to be accepted as family members, receiving proper nourishment, medical care and attention. Continuous outdoor confinement is not acceptable.

3. A FENCED YARD IS IDEAL FOR ALL DOGS. This protects the dog from roaming and owners from liability their loose animal may cause. Dogs should never be left unattended in a yard. Chaining is not acceptable. Dogs will not be placed in homes where they will be allowed to run at large. A Shiloh Rescue representative may visit your residence to confirm proper confinement requirements.

4. ADOPTERS MUST BE AT LEAST 18 YEARS OF AGE. Identification is required to adopt any pet. All adults in the household must agree to the selection of the chosen pet.

5. ANIMALS CANNOT BE ADOPTED AS GIFTS. Animals shall not be given away or sold to another individual. They must be returned to the Rescue if the adopter can no longer keep and care for the animal properly.

6. PERMISSION OF THE LANDLORD IS REQUIRED of persons living on rental property. The landlord or rental agency will be notified personally.

7. ALL ANIMALS MUST HAVE COLLARS with owner identification tags, rabies and license tags. If your animal is lost, a tag may be the only way to have your animal returned to you.

8. CURRENTLY OWNED ANIMALS MUST BE UP-TO-DATE ON VACCINATIONS. Your veterinarian may be contacted to verify your pet’s health record.

9. MICROCHIPPING. We highly recommend that you have your dogs microchipped so that in the event of an accidental loss, your pet can be returned to you safely. We request that if you microchip a Rescue dog, that you list the Shiloh Rescue Network as one of the contacts.

10. ARE YOU AWARE THAT SHILOH SHEPHERDS are capable of the following traits, just like any other large breed dog... especially if they are untrained, unsocialized or are left alone long periods of time to become bored. They:

	Can chew, dig and be destructive
	Can 'talk', whine and bark
	Can be provoked to be aggressive
	Can jump over fences and gates
	Can chase cats, birds or small dogs
	Can play too roughly with small children
	Can be possessive of food, treats, and toys
	Can challenge other dogs in the household for dominance
	Can become overly protective of their home and family members
	Need socialization and training
	Will need daily love and attention for the rest of it's life
	Can live to be 10 to 15 years of age, and be up to 31" at the withers, and up to 140 pounds
	Require annual vaccinations and vet check-ups
	Can require flea and tick preventative medication
	Can be very dependent on people and develop "separation anxiety" if left alone
	Can develop health problems (including arthritis or hip dysplasia) as they grow older
	Require a lot of time, effort, money and love
	Are very loyal and loving, and can be heartbroken if they lose their home and family

If any of these things are a concern for you, please do your research before adopting a Shiloh Shepherd!

Shiloh Rescue Network -- Adoption Application

About you:

Name:

Address:
City:
State:

Zip-code:
Email address:
Home phone (including area code):
Work phone (including area code):
Occupation:
Best time and place to call:

Are there any children in the home?
If so, please list their ages:

Who will take care of the dog:
     On a daily basis?
     When you go out of town?
     If you were to become sick, injured, or unable to care for the dog?
What is the daily caretaker's age?

Have you owned an ISSR Shiloh Shepherd before?
If so, please tell us about your experience with the breed:
(Please note if your experience is with Shiloh-mixes, or non-ISSR Shilohs.)

What are your plans for the dog (check all that apply)?
Companion pet
Protective family dog

Guard dog

Obedience/agility work

Search/rescue

Other (please specify):

About your home:

Do you live in a:

House

Condo/Townhouse

Apartment
Other (please specify):

Do you:

Own

Rent
If you rent, please provide the phone number of your landlord (including area code):

How long have you lived at this address:

If you had to move for any reason, would you bring your dogs with you?

Do you have a doggy door?

Is your home safe for a large-breed dog?

Is your backyard fenced?
What type of fencing?

brick

Stucco\

wood

chain-link
Other (please specify):

What is the height of the fence at the lowest point (in feet)?
What is the height of the gate at the lowest point (in feet)?
Do you have locks on your gates?

Do you have a swimming pool?
If so, is the pool fenced?

Will the dog be kept:

Indoors

Outdoors

Both

Is anyone home during the day?

How many hours will the dog be left alone?
Where will the dog be left while alone:
Where will the dog sleep at night:

How will the dog spend it's day:

We reserve the right to inspect all homes and yards prior to approving any adoption, or following any adoption.
Is this okay?
If not, please explain:

About your other pets:

Please list any pets that you currently have in your household and provide the following information for each:

Name:

Type of pet:

Sex:

Age:

How long owned:

Is this pet spayed or neutered:
Will this pet get along with a new dog:

Comments:

If you do not have any pets at this time, please tell us what happened to your last pet:

Do you have a veterinarian?   If so, please provide:
    Veterinarian's name:

Address:
Phone number (including area code):

Are you willing to take the dog to the veterinarian if it were to become sick or injured, and for annual exams and vaccinations?

Have you ever given a pet away?
Is so, please explain why:

Under what circumstances would you consider giving up your pet?

Have you ever taken a dog through obedience training?

Are you willing to take your next dog to obedience training?

Are you willing to consult a trainer or behaviorist if problems developed?

What behavioral or medical problems do you feel that you cannot deal with in a dog?

About the dog:

Please list the names of any dog(s) listed on the Shiloh Rescue site that you are interested in:

If you would like us to add you to our database of people looking for a Shiloh, please fill in the following information and we will keep you in our files for one year.

Age range:

Puppy (Less than 1 year)

Young Adult (1 to 3 yrs)
Adult (4 to 7 years)

Older Adult (Over 7 years)

Sex:

Male

Female

No preference

Would you prefer a dog that is already Spayed/Neutered or one that is intact:

Coat type and color preferences (if any):

Other desired qualities or traits:

Please tell us anything else that you wish to have considered in your application:

Submitting your application:

By submitting this application, you acknowledge that all of the information contained in this application is true and accurate. Any misrepresentations of fact may result in the removal of the adopted dog by Shiloh Shepherd Rescue Network. You understand that an adoption contract is part of the adoption process and will be enforced. Once a dog is adopted, if it is found to be neglected or abused, Shiloh Shepherd Rescue Network reserves the right to reclaim the dog.