* Date

* Applicant #1 - Name

Applicant #2 - Name

* Address

* Home Phone Number

Applicant #1 - Work Phone Number

Applicant #2 - Work Phone Number

Applicant #1 - Cell Phone Number

Applicant #2 - Cell Phone Number

* Applicant #1 - e-mail address

Applicant #2 - e-mail address

* Do you have a preference for a male or female?

* Why do you want a female or a male?

* Do you have a preference for a puppy or older dog?

* From whom did you learn about my litter/me (i.e., search engine and which one)?

* Have you examined our Sales Contract?
Yes llllllll No

* Are you willing to abide by our Sales Contract?
Yes llllllll No

* If you are interested in a pet/companion dog, would you accept a Limited Registration on your dog? (A Limited Registration is an AKC registration that registers your dog with AKC but does not allow offspring of the dog to be registered.)
Yes llllllll No

* If you are interested in a pet/companion dog, would you be willing to have the dog spay or neutered?
Yes llllllll No

* If you are not willing to have this dog spay or neutered, why not?

* If you are interested in a show or breeding quality dog, do you promise to have this dog x-rayed for hip and elbow dysplasia and certified by the OFA prior to breeding?
Yes llllllll No

* Are you willing to take your puppy to obedience and puppy classes?
Yes llllllll No

* Why do you want a German Shepherd Dog?

* Is this your first dog?
Yes llllllll No

* Have you ever owned a German Shepherd Dog?
Yes llllllll No

* If yes, from whom did you get him/them?

* If no, have you spent time with the breed and under what conditions?

* What kinds of previous experience have you (and/or the members of your household) had with dogs?

* What kinds of breeds have you (and/or the members of your household) had?

* If you have had dogs previously, please include the name and telephone number of the veterinarian you used. (Or another dog-related reference)

* List the names and ages of the members of your household:

* Are there others in your household (or who visit on a fairly regular basis) who will have contact with this dog?
Yes llllllll No

* If yes, who and what ages?

* Do you have other pets?
Yes llllllll No

* If yes, what kind of pets do you have and what are their ages?

* Do you live in a house?
Yes llllllll No

* Do you own or rent your house?

* Do you live in an apartment/condo?
Yes llllllll No

* Do you own or rent your apartment/condo?

* Is your place of residence in a rural or city area?

* Do you have a yard?
Yes llllllll No

* If yes, how big is your yard?

* If no, how do you plan on containing your dog?

* Where will your dog live (inside, outside, etc.)?

* How much time during the day/night will the dog be alone?

* Where will your dog stay during the time that it is alone?

* Are you prepared for the cost of caring for a large dog? (Approx. $40-50 per month)
Yes llllllll No

* Might you be interested in joining the local German Shepherd Dog Club?
Yes llllllll No

* Might you be interested in joining the national German Shepherd Dog Club?
Yes llllllll No

* What qualities do you like in the German Shepherd Dog?

* What qualities do you NOT want to find in a German Shepherd Dog?

* Watch dog
Yes llllllll No

* Trained guard dog
Yes llllllll No

* Companion/pet
Yes llllllll No

* Obedience
Yes llllllll No

* Tracking
Yes llllllll No

* Herding
Yes llllllll No

* Therapy
Yes llllllll No

Other

* Show/conformation
Yes llllllll No

* Obedience
Yes llllllll No

* Herding
Yes llllllll No

Other

* If yes to any of the above, how strong is your interest and why?

* If interested in competitive showing, might you be willing to let another person train and show your dog?
Yes llllllll No

Please use the area below for any further information you wish us to consider in placing one of our German Shepherd Dogs with you. We would appreciate it if you would give us a little insight into the expectations you may have for this new addition to your family.