Club Membership

Membership Application

NOTE: The membership year is September 1 – August 31. Membership applications made after May 15th will carry over to the next membership year.

THE DEADLINE FOR RENEWAL OF MEMBERSHIP IS AUGUST 31st

Membership shall be terminated if Membership fees are unpaid for thirty-one (31) days following the beginning of the membership year. If any member’s fees are unpaid after thirty-one (31) days following the beginning of the membership year, that Member may apply to be re-instated and upon payment of the required fees and late penalty, that Member shall be re-instated.

Questions about this Application?

Contact Jeannette Smith at (226)619-1654 or email: jjsmith10011@gmail.com

Great Pyrenees Club of Southern Ontario
Great Pyrenees Adoption Form

Please note that all fields followed by an asterisk must be filled in.

First Name*

Last Name*

E-Mail Address (ensure it is correct)*

Street Address*

City*

Province*

Postal Code*

Country

Home Phone Number*

Business Phone

Cell Phone

List any specific dog(s) you are interested in here.

Type of Residence*

Ownership*

If you rent, will you provide Landlord's written permission to allow a Great Pyr in your home?

Containment of Dog: *

	Fully Fenced Yard
	Fenced Dog Run
	Other

If other, Please describe. Note you must have secure fencing of at least 6 feet for companion dogs. Working dogs must have field fencing of a least 5 feet.:

Did you know that a Great Pyr will escape from shock fencing? If you have any form of shock fencing, please do not apply.*

How many adults in household?*

How many children in household?*

Ages of all children

Do all members of the household support the decision to adopt a Great Pyrenees?*

Do you own other dogs now?*

Please list age, sex, spay/neuter and breed information for each dog.

Do you own other pets?*

Please list types, ages and sex for each pet.

Have you ever owned a Great Pyr?*

Have you ever owned other dogs?*

If "Yes", what happened to them?

We prefer to rescue:*

Our adopted Dog will be:*

We prefer to adopt a dog aged:*

Are you willing to house break a dog?*

Where will the dog spend the day?*

Where will the dog sleep?*

How long will the dog be alone during the day if all adults work?*

Signing up for Home School the Dog is a prerequisite to adopting. Are you willing to do this?

Why do you want to adopt a Great Pyrenees?*

Veterinarian's Name

Veterinarian's Phone Number

Please confirm that you have authorized your Veterinarian to release information to us.

	Confirmed
	Not Confirmed

Additional Comments

I/We certify that the information contained in this application is true and correct and further authorize the GPCSO to contact any and all references in order to verify the information provide in this Adoption Application. Please sign by entering your name and Date below.*

Confirm and Certify

Name (Constitutes your Signature)*

Date*

GDPR*

	I am at least 16 years of age.
	I have read and accept the privacy policy.
	I understand that you will use my information to contact me or send me the information I requested.

Please enter the word that you see below.

If you prefer, you may download and print a paper form here and send by regular mail.

Thanks for completing our Dog Adoption Form. Let's go Home

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Membership Application

Great Pyrenees Club of Southern Ontario
Great Pyrenees Adoption Form

ABOUT OUR CLUB

ABOUT OUR DOGS

SERVICES FOR YOU

Breaking News

Courtesy Posting - Luna

Shelby

Courtesy Posting - Noah

Rolling

Buddy

Homemade Food Recipes

Courtesy Posting - Anna

Courtesy Posting - Millie

Membership Application

Great Pyrenees Club of Southern Ontario Great Pyrenees Adoption Form

ABOUT OUR CLUB

ABOUT OUR DOGS

SERVICES FOR YOU

Great Pyrenees Club of Southern Ontario
Great Pyrenees Adoption Form