First Name*
Last Name*
Address*
City*
State/Province*
Zip/Postal Code* -
Email*
Home Phone
Work Phone x
Cell Phone
Alt Email*
Text/Pager Email
How did you hear of us?
What is the best way for us to contact you?* Choose one: Cell Phone Email Text
What is the best time to reach you?
Are you a prior NGPR or GPRM adopter or foster / volunteer? If so, please tell us who you adopted, or fostered, and when?
Are you currently volunteering with, or have you worked previously with, any other rescues? If you like, please give us the other rescue's name and a phone number or email contact.
Can you foster a dog in your home?
Are there other ways you can help? Choose all that apply: Phone Calls to screen applications Photography - take photos of dogs in the rescue Social Media help: Instagram or Facebook Transport dogs to adopters or fosters Transport dogs to vet appointments Transport food / supplies to fosters if needed Website help, to update dog profiles
Can you do administrative tasks for the rescue? Choose all that apply: Data Entry / Computer Skills Grant Writing Make Phone Calls on behalf of Rescue Social Networking
Are there other tasks or skills that you would like to do for the rescue?
Please list your age:*
Please list your occupation:
How familiar are you with the Great Pyrenees Breed? Choose all that apply: Have no experience with Great Pyrenees Know someone with a Great Pyrenees Grew up with Great Pyrenees dogs Have had Great Pyrenees dogs as an adult previously Currently have a Great Pyrenees dog(s)
Please tell us about the Pyrs you have had or have known:*
Veterinarian's Name and Phone Number: (Please include the names and phone numbers of ALL vets you have used over the past 10 years for ALL pets in the household, listing your most current vet first. IF you have never used a vet, please let us know that as well)*
Please answer the following foster dog questions in this next section if you would like to foster a dog in your home. This will help us to match you up with a dog. If you are NOT fostering, please skip these next questions and go to the bottom of the form and submit. Thank you so much for volunteering! Choose all that apply: puppy under 6 months 6 months to 2 years 2 to 5 years over 5
How long can you provide a foster home?
Would you consider a dog with special needs, such as blindness, deafness, physical limitations, etc?
Are you willing to foster a dog that needs medication?
Gender Preference
Are you willing to housebreak a dog?
Do you own other dogs now? Please list the name, age, breed, gender and if they are spayed / neutered
How much time will the dog spend alone during the day?
What brand of food do you currently feed your dogs?
Do you have other household pets / farm animals? If yes, please list them:
How many people reside in your household?
Age of children (if any)? Please include visiting and/or any other children that the dog may interact with.
Please list any disabilities / special needs of anyone in the home (or regular visitors) that may be helpful for us to be aware of when placing a dog.
In what type of home to you live?
Do you own or rent your home?
If you rent, please enter your landlord's name and phone number:
Do you have a yard?
If yes, is it fenced? *Please note that having access to a dog park does not count as having a fenced yard.
Please describe fence materials and height. *A fully enclosed area with visible fencing is required. Please do not apply if you have an underground / electric fence or a trolley.*
Additional comments regarding volunteering and/or the name of the dog that I would like to foster:
