Notice : You should have completely read and understood all of the information on the FAQ page before submitting this application. If not, please click here now for the FAQ page.

MAGSR no longer requires a non-refundable application fee of $20. However, voluntary donations to the rescue are welcome any time. Furthermore, I understand that if I am approved for adoption, there is an adoption fee (that is not refundable) for each dog adopted.

Adopters are required to pay a non-refundable adoption fee of:

$450.00 for dogs under a year old
$400.00 for dogs ages 1 through 7 years old
$250.00 for dogs older than 7 years old

These fees cover a portion of the funds that we have already spent on the dog you adopt. MAGSR dogs are vaccinated and spayed/neutered (unless they are too young or adopted prior to the surgery). We pay for a fecal exam, a heartworm test (and treatment, if applicable), and we keep them on monthly heartworm preventative and flea/tick preventative, while in our care. We also pay for their boarding and supplies while they are with us. Adoption fees help defray some of our expenses, so that we can save more dogs.

I accept the terms above. *

Agreed

Adoption Application

MAGSR reserves the right to decline any application, based on the information we receive or are given during the approval process, with no explanation to the applicant. Information received during the approval process is considered confidential. Any Application not completed IN FULL will not be processed. *Denotes required fields

Due to the time involved in processing applications please advise us if you have adopted elsewhere, no longer interested in adopting, or would like to withdraw your application as soon as possible . This will allow us to spend our time working on open applications to find homes for our dogs.

Please do not consider adopting any of our dogs simply because they have a sad story behind them unless you are completely and totally committed to seeing them through their problems and adjustment. Moving from place to place will only add stress to their lives and can cause more problems. Dogs have feelings too; please think of theirs when making the decision to bring one into your home. Our goal is to have this be the last move in their lives, their FOREVER home.

Adopter:

First Name *

Please enter your First Name here

Last Name *

Please enter your Last Name here

Co-Adopter:

First Name

Please enter the First Name of your spouse, significant other or anyone who is going to share responsibility for the adoptee.

Last Name

Please enter the Last Name of your spouse, significant other or anyone who is going to share responsibility for the adoptee.

I am 21 or older *

Yes

If you cannot check this box, please stop here. You may not adopt from MAGSR.

Age of Applicant(s) *

Please select your age range and that of your spouse or significant other, if applicable. You must select at least one option.

Street Address *

City *

State *

Please enter your COUNTY (Not CountRy) of residence.
Residents of some states may have to enter a Township or Borough name instead.

County *

ZIP Code *

Mailing Address

Enter your Mailing Address if it is different than your street address.

Phone Numbers: Please include Area Code.
Please indicate who to ask for at work number.
Also, one number must be a home number. Cell numbers may also be listed as an additional contact number.

All Three Phone Numbers have to be filled in. Just re-use one of your numbers if all 3 are not applicable.

Home Phone *

Cell Phone *

Work Phone *

What name should we ask for when calling your work number?

Who should we ask for?

Best time to call

E-mail address *

If you have an email account it will be the primary means of our communication - please check it regularly. Not including an e-mail address will delay processing and may cause your application to be declined.

Employer *

Please provide Employer Name, Address and Phone Number.

As an adult, have you owned a German Shepherd before? *

Yes

Please give us a brief history *

If you have owned German Shepherds or Shepherd Mixes when you were an adult, please give us a brief history of each.

How long have you been thinking about adopting a dog? *

Why have you decided to get a dog and why, specifically, a shepherd? *

Are you aware that German Shepherds are active, very intelligent dogs who shed and require a lot of exercise and interaction with their family? *

Yes

Do you have any dogs now? *

Yes

Please indicate whether you currently have any dogs

Current Dogs

Please provide the requested information for each dog you currently own:

Current Dog 1

Please provide complete information on your current Dog

Name *

Please enter your dog's name here

Gender *

Male

Female

Breed *

Spayed/Neutered? *

Yes

Please explain why your dog is not spayed or neutered.

Why not? *

I have another dog *

Yes

Please indicate whether you currently have any more dogs

Current Dog 2

Please provide requested information for the second dog you currently own.

Name *

Please enter your dog's name here

Gender *

Male

Female

Breed *

Spayed/Neutered? *

Yes

Please explain why your dog is not spayed or neutered.

Why not? *

I have another dog *

Yes

Please indicate whether you currently have any more dogs

Current Dog 3

Please provide requested information for the third dog you currently own.

Name *

Please enter your dog's name here

Gender *

Male

Female

Breed *

Spayed/Neutered? *

Yes

Please explain why your dog is not spayed or neutered.

Why not?

I have another dog *

Yes

Please indicate whether you currently have any more dogs

Current Dog 4

Please provide requested information for the fourth dog you currently own.

Name *

Please enter your dog's name here

Gender *

Male

Female

Breed *

Spayed/Neutered? *

Yes

Please explain why your dog is not spayed or neutered.

Why not? *

I have another dog *

Yes

Please indicate whether you currently have any more dogs

Other Current Dog(s)

Please provide complete information on all other dogs you currently own. Please provide the same details requested for your other current dogs (above). This is a required field. If none, answer 'NONE'

Please list all other dogs you currently have. *

For each dog, include the NAME, GENDER, BREED, AGE, and WHETHER IT IS SPAYED/NEUTERED. If it is not spayed or neutered, PLEASE EXPLAIN WHY. This is a required field. If none, answer 'NONE'.

Have you ever had to give up a pet? *

Yes

Please provide details. *

If you have ever had to give up a pet, please provide details here. This is a required field. If none, answer 'NONE'

Please indicate whether you have hand any other dogs as pets in the past ten years.

Have you had any other dogs in the past TEN years? *

Yes

Previous Dogs

Please provide the requested information for each dog you had during the past TEN years:

Previous Dog 1

Please provide the following information about the first dog you have had in the previous TEN years.

Name *

Gender *

Male

Female

Age When Acquired *

Approximately how old was the dog when he/she came to you?

How long did you have him/her? *

Why do you no longer have the dog *

Deceased

Other

Cause of Death *

Please provide BOTH the cause and date of death. Please be as complete and accurate as possible.

Reason you no longer have him/her *

Please explain why you no longer have this dog. Please be as complete as possible.

I had another dog in the past TEN years *

Yes

Please indicate whether you has any other dogs in the past TEN years.

Previous Dog 2

Please provide the following information about the second dog you had in the previous TEN years.

Name *

Gender *

Male

Female

Age When Acquired *

Approximately how old was the dog when he/she came to you?

How long did you have him/her? *

Why do you no longer have the dog *

Deceased

Other

Cause of Death *

Please provide BOTH the cause and date of death. Please be as complete and accurate as possible.

Reason you no longer have him/her *

Please explain why you no longer have this dog. Please be as complete as possible.

I had another dog in the past TEN years *

Yes

Please indicate whether you has any other dogs in the past TEN years.

Previous Dog 3

Please provide the following information about the third dog you had in the previous TEN years.

Name *

Gender *

Male

Female

Age When Acquired *

Approximately how old was the dog when he/she came to you?

How long did you have him/her? *

Why do you no longer have the dog *

Deceased

Other

Cause of Death *

Please provide BOTH the cause and date of death. Please be as complete and accurate as possible.

Reason you no longer have him/her *

Please explain why you no longer have this dog. Please be as complete as possible.

I had another dog in the past TEN years *

Yes

Please indicate whether you has any other dogs in the past TEN years.

Previous Dog 4

Please provide the following information about the fourth dog you had in the previous TEN years.

Name *

Gender *

Male

Female

Age When Acquired *

Approximately how old was the dog when he/she came to you?

How long did you have him/her? *

Why do you no longer have the dog *

Deceased

Other

Cause of Death *

Please provide BOTH the cause and date of death. Please be as complete and accurate as possible.

Reason you no longer have him/her *

Please explain why you no longer have this dog. Please be as complete as possible.

I had another dog in the past TEN years *

Yes

Please indicate whether you has any other dogs in the past TEN years.

Other Previous Dogs

Please provide complete information on all other dogs you have had in the previous TEN years. Please provide the same details requested for your other previous dogs (above). This is a required field. If none, answer 'NONE'

Please list all other dogs you've had in the past TEN years. *

For each dog, include the NAME, GENDER, BREED, AGE OF THE DOG WHEN ACQUIRED, HOW LONG YOU HAD THE DOG, WHY YOU NO LONGER HAVE THE DOG, and CAUSE OF DEATH (if applicable). This is a required field. If none, answer 'NONE'

Please indicate whether you currently have any other pets in the household.

Do you currently have any other pets? *

Yes

Other Pets

Please provide the requested information for all you other current pets:

Current Pet 1

Please provide complete information on your first other pet

Name *

Please enter your pet's name here

Gender *

Male

Female

Species *

Please indicate the species of this pet; cat, rabbit, etc.

Age When Acquired *

Approximately how old was this pet when he/she came to you?

How long have you had this pet? *

I have another pet. *

Yes

Please indicate whether you have another pet,

Current Pet 2

Please provide complete information on your second other pet

Name *

Please enter your pet's name here

Gender *

Male

Female

Species *

Please indicate the species of this pet; cat, rabbit, etc.

Age When Acquired *

Approximately how old was this pet when he/she came to you?

How long have you had this pet? *

I have another pet. *

Yes

Please indicate whether you have another pet,

Current Pet 3

Please provide complete information on your third other pet

Name *

Please enter your pet's name here

Gender *

Male

Female

Species *

Please indicate the species of this pet; cat, rabbit, etc.

Age When Acquired *

Approximately how old was this pet when he/she came to you?

How long have you had this pet? *

I have another pet. *

Yes

Please indicate whether you have another pet,

Current Pet 4

Please provide complete information on your fourth other pet

Name *

Please enter your pet's name here

Gender *

Male

Female

Species *

Please indicate the species of this pet; cat, rabbit, etc.

Age When Acquired *

Approximately how old was this pet when he/she came to you?

How long have you had this pet? *

I have another pet. *

Yes

Please indicate whether you have another pet

Other Current Pets

Please provide complete information on all your other current pets. Please provide the same details requested for your other pets (above). This is a required field. If none, answer 'NONE'

Please list all other pets you own. *

For each pet, include the NAME, GENDER, SPECIES, AGE WHEN ACQUIRED, and HOW LONG YOU HAVE HAD THE PET. This is a required field. If none, answer 'NONE'

Who will be the primary caretaker of the dog? *

List all plans for this dog Other... (Please Describe)

Select all that apply

If listed dog is adopted *

Continue Application

Withdraw Application

If listed dog is adopted, or about to be, do you wish to continue the application process working toward being approved for another dog, or one that may be joining MAGSR? We would suggest continuing with the app process working toward approval so you'll be ready for the next one you see.

When would you like to adopt *

Right Away

In a few weeks

Over a month from now

How long do you think your dog is going to take to adjust to his/her new home? *

How long are you willing to wait for the new dog to become adjusted and bond with you? *

One Week

One Month

Six Months

As long as it takes

Under what circumstances would you consider returning your dog to MAGSR? *

How would you correct the dog if he/she has a housebreaking accident in your home? *

How would you correct the dog if he/she has chewed something, like shoes or furniture? *

Are you prepared to assume the financial expenses of owning a dog (routine medical care, emergency medical care, food training/obedience lessons, supplies, grooming, etc.)? *

How much do you anticipate to spend on the dog each year for food, supplies, routine and emergency expenses? *

How many adults reside in the home? *

Their relationship to the applicant *

How many children (ages 0-18) reside in the home (please include children who are there part time)? *

Please include children who are there part time.

How old are the children? *

Does any family member have allergies to animals? *

Yes

Don't Know-this will be our first pet

Do you have a regular vet or have you had a regular vet in the last 10 years? *

Yes

Do you have a regular vet or have you had a regular vet in the last 10 years?

Veterinarians

Please list the names and phone numbers (include area codes) of your last TWO (2) veterinarians. Even if you do not currently have a pet, provide the contact info for your last two vets.

PLEASE CALL YOUR VET(S) AND HAVE A "CONSENT TO RELEASE MEDICAL INFORMATION" POSTED ON YOUR FILE. WITHOUT THIS INFORMATION YOUR APPLICATION WILL NOT BE ACCEPTED OR PROCESSED.

Veterinarian 1

Please provide requested info for your most frequently used vet.

Name *

Name of Practice *

Phone Number *

Veterinarian 2

Please provide requested info for any other vet you have used in the last 4 years..

Name

Name of Practice

Phone Number

Do you keep your current dog (if applicable) on preventative heartworm medicine? *

Yes

If you adopt a MAGSR dog, will you keep that dog on continuous and year-round heartworm preventatives? *

Yes

Kind of Heartworm Meds * If so, what kind:

Are all your pets current on all their required vaccinations? *

Yes

Are there any other dogs or cats in the household that are not owned by you? *

Yes

Please list the most recent vet information for these pets as well as the name their records will be under, so that we can confirm they're up-to-date. *

Have you ever taken a dog to obedience class? *

Yes

Name of Trainer *

Please provide the name and contact information for each trainer used, for each dog. (E.g. Spot went to All Good Dogs 301-555-2222 and Rex went to Bob Smith for training 410-555-2222.)

Will you consult a trainer or behaviorist if your dog develops problems? *

Yes

Will you take your new dog to obedience class? *

Yes

Have you ever been charged with or convicted of animal neglect, abuse, or cruelty of any kind? *

Yes

If so, please explain below: *

How did you hear about our rescue and/or who referred you to MAGSR? *

How did you hear about our rescue and/or who referred you to MAGSR? Other...

Please indicate how you heard about MAGSR. You can select more than one response. If you select "Other" please indicate how.

Would you let a representative of MAGSR visit your home by appointment? *

Yes

List (3) three references. Include their first and last names, their relationship to you, and the phone numbers (include area codes) at which we may reach them. Please let them know we will be calling.

You may list only ONE relative or family member and MAY NOT use your Vet as a personal reference. No personal reference can live in the same house as the potential adopter(s). No personal reference can live in the same house as one of the other personal references.

WITHOUT THIS INFORMATION YOUR APPLICATION WILL NOT BE ACCEPTED OR PROCESSED.

Reference 1

Please provide complete information for you first reference. This reference can be a relative.

Name *

10 digit phone number *

Relation to you *

Friend

Co-Worker

Relative

Reference 2

Please provide complete information for you second reference.

Name *

10 digit phone number *

Relation to you *

Friend

Co-Worker

Reference 3

Please provide complete information for you third reference.

Name *

10 digit phone number *

Relation to you *

Friend

Co-Worker

I understand and agree that the information provided to MAGSR during the approval process is confidential and MAGSR will not give details to the applicants if they are denied. *

I/We Agree

I understand and agree that the adoption fee is non-refundable, because this fee is applied toward the medical and boarding expenses that we have already incurred for each dog. *

I/We Agree

If you have anything to add, please feel free to use the space below.

By submitting your application, you declare that the information provided in this application is true and complete, to the best of your knowledge. *

I/We Agree

MAGSR can and will deny any application if an applicant has falsified any information provided during the approval process. If this application is sent incomplete then you will not be considered for approval.

You should hear from us within 48 hours once we receive your application. If you pay the application fee by check, this can delay the processing of your app by a minimum of 7 additional days, so you might not hear from us for 7 to 9 days. If you have not heard from us by then please email us here to inquire about the status of your application.

Please Be Sure to check your "bulk mail folder" while waiting for us to reply as often times our responses mistakenly go into applicants' bulk folders and they delete without reading.

Please be patient while the form goes through, it may take a few seconds.

You should see a thank you page once the information has gone through.

If you get an error message, please try to submit the form again.
If the problem persists, please e-mail us.

Thank You!

Please Donate to MAGSR

* We have a Medical Emergency - Please Help *

Adoption Application

Adopter:

Co-Adopter:

Please enter your COUNTY (Not CountRy) of residence.
Residents of some states may have to enter a Township or Borough name instead.

Current Dogs

If you have ever had to give up a pet, please provide details here. This is a required field. If none, answer 'NONE'

Previous Dogs

Other Pets

Please be patient while the form goes through, it may take a few seconds.

Follow MAGSR on:

Varina Thermal Mugs

Pet Safety Tips

Search form

*** We have a Medical Emergency - Please Help ***

Adopter:

Co-Adopter:

Please enter your COUNTY (Not CountRy) of residence. Residents of some states may have to enter a Township or Borough name instead.

Current Dogs

If you have ever had to give up a pet, please provide details here. This is a required field. If none, answer 'NONE'

Previous Dogs

Other Pets

Please be patient while the form goes through, it may take a few seconds.

Follow MAGSR on:

Varina Thermal Mugs

Pet Safety Tips

* We have a Medical Emergency - Please Help *

Please enter your COUNTY (Not CountRy) of residence.
Residents of some states may have to enter a Township or Borough name instead.