HOME


Check Out:

News

SSR Store

Photo Gallery

Guestbook

Donate


Upcoming Events:

Click here for our events page

Who is available for adoption?

Click here to see our Available Dogs.


Click the button below to donate through PayPal:

 

 

 


Follow Us:

FacebookInstagramTwitter-icon

SSR

PO Box 764
Stephens City, VA 22655
info@shenandoahrescue.org
 
 

German Shepherd Badge

Repl Adoption Application
Contact Information

*

*

*

*

*

*
 - 

*

*

*

*=required

*

*

A co-applicant is responsible person of at least 18 years of age that resides at the same physical address as the applicant. Both are expected to be fully committed to the lifetime responsibilities of an adopted dog. All below questions are for both the applicant and a co-applicant.






*

*

*

*



*

*

*

*

*

*

*


*


*


*

*

*

*

*

*

*

*

*


*


Provide contact information for three personal references who are not family members regardless of where they live, nor a spouse/significant other, or anyone living in your home or financially dependent on you.

*

*

*


*

*

*


*

*

*


*

*

*


Below we will ask you about pets that you and your co-adopter (if applicable) have had full responsibility for in the last three years. This means decision-making responsibility, day-to-day care, and financial responsibility for medical care.

It is the applicant's responsibility to ensure the veterinary providers are given permission to speak with a representative of the rescue to verify vetting history. We recommend that you contact your vet provider(s) to confirm they are aware of this request and to validate that the records they have for your pet(s) are accurate. We will be asking for records under the applicant or co-applicant's name. Please ensure the name on the records are up to date to avoid delays or miscommunication. We will be asking about each of the items listed below.

If the vet cannot confirm that all pets are/were fully vetted per the list below or there is a medical reason that something was not provided, your application will be in jeopardy of denial.  

Canine (Required)
Spay/Neuter

Vaccines against rabies AND  parvo/distemper/hepatitis (DHPP)
Routine   heartworm testing in conjunction with year-round heartworm and flea/tick preventatives
Annual wellness visits


Feline (Required)
Spay/Neuter

Vaccines against rabies

We do strongly recommend annual wellness visits for all cats whether they are indoor only or indoor/outdoor. Many pets instinctively hide signs of illness. Without monitoring, by the time an illness manifests itself, it is often too late to help, and the pet has been suffering. Please also consider that if a cat spends anytime outside (intentionally or not), it is a best practice to provide vaccinations for feline leukemia, distemper/panleukopenia, rhinotracheitis, calicvirus. We would like to know that your feline family members are also protected from these terrible diseases.  

*



























*

You must agree to the following terms and conditions for this application to be considered.  Submitting this form indicates agreement.

I certify that the information entered on this application is accurate and true to the best of my knowledge.

I understand that providing false information is grounds for denial of my application.

I certify that I am providing consent to SSR to contact my Veterinarian and my References for further information if needed.

I certify that I am not applying for someone else, i.e., I am applying in my own name.

I understand that as a requirement to adopt I must keep my dog on heartworm prevention and flea and tick prevention at all times.

I understand the cost, time and physical demands that come with pet ownership.     

I am willing to allow a Shenandoah Shepherd Rescue  representative to come to my home and conduct a home visit.

I understand that if I have listed a co-applicant, he/she must be fully informed and in agreement with the application/adoption.

I understand that SSR does not support adoptions as “surprises” or “gifts.”

I understand that SSR does not support adoptions as working, support or service dogs. SSR dogs are companion dogs only.

I understand that during the home visit all members of my household must be present.

I am 18 years or older and am legally allowed to adopt a pet.     

I understand that submission of this form provides a signature.

 

*


 

Please Remember To:

Notify your vet that an SSR representative will be calling.

Check your spam/junk mail folder if you do not hear from us within a week.

 

*=required