I am interested in a 
Male  Female
Pet Quality  Show Quality

I am interested in a puppy from the following litter:


Color Preference: (if any)


Name:


Address:


Phone:


e-mail:


Occupation:


Age:

Have you ever raised a puppy before?
Yes   No

Have you owned a German Shepherd before?
Yes   No

Do you have children?
Yes   No

If yes, what age are they?


Do you have other dogs or pets?
Yes   No

If yes, please describe?


Do you have a fenced yard?
Yes   No

Will your puppy live inside?
Yes   No

Will puppy be part of the family?
Yes   No

How much time will you be able to spend with your puppy each day?


Are you willing to take obedience classes with your puppy?
Yes   No

Are you willing to provide proper veterinary care?
Yes    No

Please take a moment to tell us a little bit about yourself and your plans for your new puppy:


Thank you for your interest in our puppies. We appreciate your patience in filling out this application form. We look forward to talking to you and will be contacting you soon.