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We are happy that you are interested in adopting one of our wonderful shepherds.
Please take the time to fill this application out completely and honestly about you and your family.
With this form we will strive to find a perfect match.
Feel free to add any additional information not covered.

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*Please Answer as much Information as Possible


Adoption Application

Personal Info






















Employer info









Veterinary Info





List All Current and Previous Pets
Pet 1


Sex:

Do You Still Have?

Pet 2


Sex:

Do You Still Have?
Pet 3


Sex:

Do You Still Have?

Pet 4


Sex:

Do You Still Have?


Dog Preference Information:
Are you interested in a specific dog in our program?









Are you looking for specific characteristics?

Are you currently working with any other rescues?


Please list two (2) personal reference that we can call
Reference 1






Refernce 2







If there is anything else you want to add please do so here


We work hard to match the right dog with your family life. We are an all volunteer group and have full time jobs and families.
Please be patient and we will get back to you within 7-10 days.

Simply Shepherds Rescue
Email address: info@simplyshepherdsrescue.org