| INSTRUCTIONS: Save this application to your
computer as a WORD Document before completing. When finished
completing, email the saved file as an attachment to:
wowlane@hughes.net.
Note: You must be at least 21 years old in
order to adopt. |
The answers you give on this application will
help Great Pyrenees Rescue of Oklahoma find the best possible match of a working
Great Pyrenees LGD to the needs of your farming operation. Please fill out
the form completely. The form may be completed on your computer and
returned to the sender via e-mail, or a hard copy may be mailed to:
Great Pyrenees Rescue of Oklahoma
Attention: Dan or Paula Lane
33372 Calhoun Road.
Shady Point, Oklahoma 74956
Farm Name:
Owner Name(s):
Address:
City:
State: Zip:
Home Phone:
Mobile Phone:
Work Phone:
Best time to call: ______________________
Occupation:
Personal reference (not a relative):
Relationship:
_______________________________________ Phone:
Own or Lease farm: ____________ How long have
you farmed/lived at this address? __________________________
If less than one year, give previous address:
Type and quantity of livestock to be guarded:
Number
of fenced acres: Fence type and height:
What kind of shelter from harsh weather is
available to your livestock and LGD(s)?
Do
you currently have working LGD’s on your farm? If
so, list the breed, age, sex of each LGD and the type
of livestock each is guarding:
What types of predators are in your area?
Are
there provisions in place to safely introduce your new LGD to the livestock?
________Please describe:
____
Will your new LGD from Rescue live in a fenced
area with the livestock it is guarding?
Do
you provide monthly Heartworm prevention to your LGD’s? _______ Type of
Preventative used:
How many dogs have you owned in the last five
years? Do you still own the dog(s)?
_____________________
If not, what happened to the dog(s)? (Please
be specific):
Are
there children in residence on your farm? ___________ Ages and sex of children:
____
Will children have unmonitored access to your
new LGD? _______ Are there regular visitors to your home with which your
new LGD must get along? _
Describe:
____
Do you own other dogs, or cats, as pets? ______
Are they spayed/neutered? ______ How are they kept separate from your
working LGD(s)?
Do you have a regular veterinarian? ______ Name
of veterinarian:
Address:
Phone:
Do you want to adopt (circle/underline):
Male Female No preference Age preference?
Would
you be willing to consider a suitable LGD of different (circle/underline)?
Age Sex
How long are you willing to wait for a working
LGD from Rescue should a suitable match not be available now?
Submission
of this application in no way guarantees your adoption of a Working LGD from
Great Pyrenees Rescue of Oklahoma.
Your signature on this application attests that
the information you have given is accurate and true and also gives your current
and past veterinarian permission to provide any and all information requested by
Rescue in regard to the medical and preventative care provided to any current
and past livestock, or pet(s) of yours that they have on record.
Signature Date
