Please provide the following contact information:

Today's Date & Time
First Name
Last Name
Middle Initial
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
E-mail
URL
Date of Birth
Do you Own or Rent your home?	Own     Rent
Who is your land lord? Please provide name and contact information.
What type of Dwelling do you have?	Type of Dwelling:
Is your yard fenced?	Yes   No
How many adults in your household?
How many children do you have, and what are their ages?
Do you have other animals or friends with pets that visit regularly that the dog will need to get along with?
How many dogs have you owned in the past 3 years?
If you no longer own these dogs, please explain why?
Do you own Cats?	Yes   No
Have you ever own a GSP?	Yes     No
Have you ever owned other hunting breeds?	Yes No
When, and what breed(s)?
Please tell us why you want a GSP..
If approved what will you use your dog for?
Sex of dog desired.	Male     Female
Please explain reason for particular sex:
Age Preference?
Reason for age Preference.
Size preference and reason
Would you consider any sex dog, age, or size?	Yes   No
Where will the dog spend the day? How many hours alone will it spend per day?
Where will the dog spend the night?
Please provide the name and phone number of your vet. (References are available if you do not have one so please ask if needed.)
Do you agree to keep this dog current on immunizations, licensed and provide essential care?	Yes  No
Would you be willing to have a GSPCO representative visit your home by appointment?	Yes No
If not, please explain why.
How did you hear of GSPCO Rescue?
Why are you interested in GSP rescue adoption?
Having received a German Shorthaired Pointer through the Oregon German Shorthaired Pointer Rescue Program, you agree to the following terms of adoption: NEUTERING/SPAYING: This dog must be neutered/spayed within 30 days of the date of adoption and may not be used for breeding purposes. Adopter(s) must send a copy of the neuter/spay certificate signed by the veterinarian who performed the surgery to GSP Rescue. If the certificate is not received by the above date, GSP Rescue reserves the right to terminate this agreement, and the adopter(s) must return the dog to GSP Rescue. RETURNS: If, for any reason, this adoption is not satisfactory to the adopting party or if the adopter(s) fail to comply with all of the terms and conditions of this agreement during the entire lifespan of this dog, the dog must be returned to GSP Rescue. *REFUNDS: If the dog is returned within 30 days after adoption and the dog is in as good or better mental and physical condition as on the date of adoption, there will be a conditional pro-rate refund of the adoption donation, subject to the discretion of GSP Rescue. There will be no refund of the donation after 30 days.    TRANSFER OF OWNERSHIP: This dog may not be transferred to any other person, firm, corporation, or organization for any reason whatsoever. TRAINING: Under no circumstances will this dog be protection or attack trained or agitated in any manner or allowed to be used as a guard dog for any person, agency, firm, corporation, or organization. This dog must not be maintained outside as a yard protection dog. The only function of a Rescue dog is that of a house / hunt pet. HEALTH PROGRAM: This dog will be placed on an inoculation program established by the adopter(s) veterinarian. Adopter(s) will provide food, water, shelter, protection, and proper medical care to keep the dog in optimum health. IDENTIFICATION: This dog must wear identification (personal ID and license tags) at all times. GSP Rescue recommends microchipping or tattooing, and keeps a list of dogs marked in this manner in case of loss or theft of a dog. LOSS: If this dog is lost or stolen, the adopter(s) must notify GSP Rescue immediately. RESERVATION OF RIGHTS: GSP Rescue reserves the right to follow through on this adoption in order to protect the welfare of this dog. If the terms and conditions of this agreement are not upheld by the adopter(s) and/or if any misrepresentations have been made to GSP Rescue by said adopter(s), GSP Rescue reserves the right to terminate this agreement, and the adopter(s) must return the dog to GSP Rescue. ATTORNEYS FEES AND COSTS: Should it be necessary for GSP Rescue to take legal action to recover the adopted dog or otherwise enforce provisions in this agreement, the adopter(s) agree(s) to pay all court costs and legal fees. Likewise, if any adoption donation check shall be returned by the bank for Non-Sufficient Funds, the adopter(s) agree(s) to immediately return the dog to GSP Rescue or provide GSP Rescue with a money order or cashiers check in lieu of a personal check. The German Shorthaired Pointer Club of Oregon is a non-profit organization and the Rescue Group depends on adoption donations to continue our work. Unless otherwise stated, we request a tax-deductible adoption donation of $100.00* if we are successful in matching you with a rescued GSP. Your donation is used for rescue expenses such as medical care, immunizations, county shelter fees, and public service notices. By submitting this application, you are certifying that the above information is accurate and complete. Should we find a rescue GSP that we feel is a proper match for you, we will contact you using the above information, and arrange for you to view the dog, and sign documents. The GSPCO Rescue Group is comprised of volunteers, and is not responsible for the accuracy of information received concerning temperament, habits, or physical condition of dogs available for adoption. It is your responsibility to see and evaluate the dog for yourself before agreeing to adopt it. The German Shorthaired Pointer Club of Oregon is in no way liable or responsible for any damage, accident, or injury resulting from the placement of a dog in your household. All dogs are adopted out on 30 day spay/neuter contracts, with no exceptions given.
Do you agree to these terms and conditions?	Yes  No