Adoption Application | Garden State Mastiff Rescue

Please be advised that we are all volunteers involved with identifying and receiving rescue Mastiffs from shelters, picking up owner surrenders, conducting home visits, coordinating foster homes, transporting rescue Mastiffs for veterinary care and to new homes. If you have not heard from a representative of GSMR within a month of the submission of this application, please feel free to contact us.

Personal Information

Name: *

Address (City, State, Zip): *

Home Phone: *

Cell Phone:

Work Phone:

Best Number to call: *

Email: *

How long have you lived at the current address? If less than 3 years please list your previous address. *

Date of Birth: *

General Information

Names and relation of other adults in household: *

If no additional adults please enter "0".

Names and ages of children living in household on a regular basis:

Names and ages of children visiting household on a regular basis: *

Do you currently own a dog(s)? *

If you answered yes to owning a dog, please tell us how many.

If you own a dog(s) please tell us the breed, sex, whether spayed/neutered, and ages of all dogs owned.

Do you currently own any other type of pets? *

What kind of pets do you currently own?

Type of Home: *

Do you own or Rent? *

Own

Rent

Is your yard fenced? *

Type of fence and height: *

If no fence please enter "0".

Size of Yard: *

If no yard please enter "None".

Additional Information

Please let us know about any gender, age or color preferences you may have.

Where will the Mastiff live during the day? *

Where will the Mastiff sleep at night? *

How many hours a day will you spend with the Mastiff? *

Where will the Mastiff be kept when it is alone? *

How will the Mastiff be cared for on overnight absences or while on vacation? *

Have you ever owned a giant breed before? *

Yes

If you answered Yes to the above question please tell us what Breed:

Please elaborate on what happened to previous dogs: *

Name of the primary caregiver of the Mastiff: *

How many dogs can you legally have where you live? *

Is there a leash law where you live? *

What made you choose the Mastiff breed? *

What made you decide to adopt from a rescue organization? *

Please list your current veterinarian's Name, Address and Phone Number: *

Please provide a reference of someone NOT related to you (name, address, phone, relationship): *

Please list any other information/comments you feel may help us in placing a Mastiff in your home:

Certification

I certify that the information contained in this application is true and correct and I understand that prior to the placement of a Rescue Mastiff in my home, the information will be verified. I also agree to a personal interview to determine the suitability of my facilities to care far a Rescue Mastiff. I understand that upon placement of a rescued mastiff in my home that there is a donation of $500.

Please enter your INITIALS and today's DATE. *

Please type the 2 words you see below: