Applicant Date of Birth

How long have you lived at your current address? --Select-- > 1 year 1-5 years 5-10 years 11+ years

Do you plan to move in the near future? --Select-- Yes No

How many people live in your household? --Select--   0   1   2   3   4   5   6   7   8   9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99

Ages of children who visit the home

Does anyone in your household have known allergies to animals? --Select-- Yes No

Does everyone in the household want to adopt a dog? --Select-- Yes No

Has anyone currently living in your home ever been charged with, or convicted of a crime (not including traffic violations)? --Select-- Yes No

Which of the following best describes your current home? --Select-- House Condo Townhome Mobile Home Apartment Farm

Do you own or rent? --Select-- Own Rent

Do you have a fenced yard? --Select-- Yes No

Do you have a swimming pool? --Select-- Yes No

Who is your homeowner's / renter's insurance carrier?

Does your homeowner's / renter's insurance allow GSDs in the home? --Select-- Yes No

Does your city/town have any ordinances limiting the number of pets you may have? --Select-- Yes No

Occupation

Employer

How long have you been with your current employer?

How many pets currently live with you? --Select--   0   1   2   3   4   5   6   7   8   9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99

How long have you owned your current pets?

Have you owned pets previously? --Select-- Yes No

Who will be responsible for the care and training of the dog?

How many hours a day will the dog be alone? --Select--   0   1   2   3   4   5   6   7   8   9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99

Where will the dog be kept while alone and unattended?

Where will the dog spend it's nights?

How often will you feed the dog? --Select-- AM PM AM and PM Free Feed

What brand of food?

What type of exercise do you plan to give the new dog?

How often?

Have you crate trained a dog before? --Select-- Yes No

How do you feel about using a crate?

What is your experience with training dogs? Indicate any specific issues you have dealt with (i.e. food aggression, jumping, leash walking, shyness, etc.)

Who is your current veterinary clinic?

If none, enter N/A or none

Veterinary clinic address

If none, enter N/A or none

Veterinary clinic phone number

If none, enter N/A or none

Reference 1 - Full Name

Please list 3 references--2 of which CANNOT BE RELATED to you. Contact your references and tell them to be expecting our call

Reference 1 - Relationship

Reference 1 - Address

Reference 1 - Phone

Reference 2 - Full Name

Please list 3 references--2 of which CANNOT BE RELATED to you. Contact your references and tell them to be expecting our call

Reference 2 - Relationship

Reference 2 - Address

Reference 2 - Phone

Reference 3 - Full Name

Please list 3 references--2 of which CANNOT BE RELATED to you. Contact your references and tell them to be expecting our call

Reference 3 - Relationship

Reference 3 - Address

Reference 3 - Phone

Are you aware of and financially prepared for the cost of veterinary care? --Select-- Yes No

Have you ever given away, sold, or surrendered a dog before? --Select-- Yes No

Are there any circumstances in which you would give up a dog? --Select-- Yes No

Have you ever been declined when applying to adopt an animal? --Select-- Yes No

Do you own or have you previously owned a German Shepherd? --Select-- Yes No

Have you done any research on the German Shepherd breed? --Select-- Yes No

Tell us why you are interested in adopting a German Shepherd

Are there any special circumstances or requirements you may have that you would like us to know about?

Additional information

*I have read and agree to the Terms and Conditions