Southwest German Shepherd Rescue

in partnership with

White German Shepherd Rescue



Please provide us with the following information. Thank you!

Full Name: 


Cross Streets: 

Home phone: 

Cell phone: 

Home Email Address: 

Work Email Address (if OK to use): 

YOUR AVAILABILITY?:     Weekends Only     Some weekdays     During the week only     Anytime

Type of Vehicle you drive?:      Sedan      Coupe      Convertible      Small SUV      Large SUV      P/U Truck

If SUV, does your vehicle have rear A/C?: Yes Rear A/C     No Rear A/C

Do you have a 35-42 inch foldable wire crate?: Yes     No     I have a large Vari-Kennel

YOUR AREA OF INTEREST:       Transport      Event Setup & Breakdown       Fostering    If you have an interest in fostering, please visit Our Foster Program page

IF WILLING TO TRANSPORT, HOW FAR ARE YOU ABLE TO DRIVE?:      Casa Grande      Tucson       Payson      Prescott/Chino Valley     Flagstaff     Kingman Beyond     Adjacent States     No Transport

Do you have any physical limitations with respect to lifting or carrying items such as folded canopies, crates, tables, boxes, various containers?: YES-I am unable to life anything over 15 pounds     NO, I can lift up to 50+ pounds


Have you owned a GSD in the past?: YES     NO

Have you ever completed a paid obedience class with any dog?: YES     NO


Are you: Over 25     Over 50     Over 64

Please tell us little about your general dog experience:

Please elaborate on your experience with German Shepherds:

How far are you able to travel locally for a home check? (please check all that apply with no gas reimbursement):
      Casa Grande       Phoenix       Glendale       Anthem       New River       Carefree      Adjacent States       North Scottsdale       South Scottsdale      Peoria       Tempe       Mesa       Tonopah       Chandler       Gilbert       Queen Creek       Apache Junction       Globe       Wilcox       Buckeye       Wickenburg       Surprise/El Mirage

We very much appreciate you taking the time to provide us with this information and we are very grateful for your offer of help. You will not hear from us, however, unless or until we have an immediate need; your info will be kept on file for when the need arises.

Should you have any questions, please feel free to call us between 10am and 8pm Tuesday thru Saturday at: 602-866-2880.

Thank You!