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Applications
Please enable JavaScript in your browser to complete this form.
–
Step
1
of 6
Name
*
First
Last
Email
*
Email
Confirm Email
Your Home Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone
*
Best time to contact you
choose
late morning
early afternoon
late afternoon
early evening
weekends are best
Next
FAMILY INFORMATION
Are all adults in the household in agreement to both adopt the Pyr & do the necessary work to enable it to thrive in the home? Please note, we do not adopt out dogs as "surprises" or gifts and ask that all family members come to the rescue to meet the Pyr.
*
Yes
No
Please list adults in household.
*
Please list children in household and their ages
*
Your children’s ages is helpful in finding the right match for your home
Does any member of your household have allergies?
*
choose
Yes
No
Please explain any allergies.
Next
CURRENT PETS INFORMATION
Pet #1
Pet name, pet species, pet age
Pet 1 Spayed/Neutered?
choose
Yes. Spayed/Neutered.
Not Spayed/Neutered
Pet #2
Pet name, pet species, pet age
Pet 2 Spayed/Neutered?
choose
Yes. Spayed/Neutered.
Not Spayed/Neutered
Pet #3
Pet name, pet species, pet age
Pet 3 Spayed/Neutered?
choose
Yes. Spayed/Neutered.
Not Spayed/Neutered
Pet #4
Pet name, pet species, pet age
Pet 4 Spayed/Neutered?
choose
Yes. Spayed/Neutered.
Not Spayed/Neutered
If you have more than four pets- please add additional pets information here
Have your pets ever been taken to animal control?
*
Yes
No
Why was you pet taken to animal control?
Next
VETERINARY INFORMATION
Veterinary Clinic
*
Veterinarian
*
Veterinarian's Phone
*
Are your current pets on Heartworm preventative?
*
choose
Yes all pets on Heartworm preventative
No pets on not on Heartworm preventative
Which brand of Heartworm preventative:
*
CGPR requires that all pets in a home are on heartworm preventative prior to adopting any of our Pyrs.
PREFERRED GREAT PYRENEES INFORMATION
Preferred Pyrenees Gender
*
choose
Male Great Pyrenees
Female Great Pyrenees
Undecided
Preferred Pyrenees Age
*
choose
Newborn Pyr Puppy- three months old
Pyr Puppy 4 -12 months old
Young Adult Pyr 1- 3 years old
Adult Pyr 4 – 6 years old
Senior Pyr 7+ years old
undecided
Why do you want a Pyr?
*
Next
HOME DETAILS AND INFORMATION
Where do you live?
*
choose
House I own
House I rent
Other (explain below)
Additional information about your home
If you do not own your home tell us a bit about your rental situation.
If you answered rent, you must provide your landlord's name
If you answered rent, you must provide your landlord's phone number
Where will the dog be during the day?
*
Where will the dog be during the night?
*
Approximately how many hours each day will the dog be alone?
*
choose
0 hours
1- 4 hours
4 – 6 hours
6 – 8 hours
8+ hours
Next
CGPR REQUIRES A PHYSICALLY FENCED YARD TO ADOPT ONE OF OUR PYRS.
What type of fence do you have?
*
Choose
Chain Link
Wooden Stockade
Vinyl Stockade
Split Rail and Chicken Wire
Wrought Iron
Other- describe below
CGPR requires a physically fenced yard to adopt one of our Pyrs
If you answered “other” you must describe your fence.
Select your fence height
*
choose your fence height
under 4 feet
4 feet
5 feet
6 feet
over 6 feet
May we do a home visit?
*
choose
Yes
No
How did you find Carolina Pyr Rescue?
*
Choose
Google
Petfinder
Facebook
Instagram
Previously adopted from CGPR
referral from shelter
referral from friend
Other
Choose
Attaching 3 photos of your fence will speed up the approval process.
Click or drag files to this area to upload.
You can upload up to 3 files.
please attach a .jpg, .png or an .heic image file if you have problems attaching them here you can email them to pictures@carolinapyrrescue.com
Submit Application to CGPR
