Please enable JavaScript in your browser to complete this form. Please enable JavaScript in your browser to complete this form. First Name Required Signature and Personal References (Other Than Relatives): Last Name * Email * Address City State Zip Code Home Phone or Cell Phone Work Phone Number of adults in family Number of children in family Children's ages How many pets do you have? Do you live in a: House Apartment Mobile Home Condo Do you Own Rent Why do you want a GSD? Companion Protection Sport Breeding Service dog Other Describe your home enviroment Quiet Busy Where will your dog be kept most of the time? Outdoors only On a chain Indoors/Outdoors Indoors Only Is your yard Fenced? Yes No What type of exercise do you plan to give your dog? Do you have an age preference? Yes No Preferred gender: Male Female Both Do you have a color preference? Black/Tan Black Sable Any Do you plan to train your dog? Yes No What level of protective instincts do you want your dog to have? None Bark Only Bark/Growl Bite if Necessary Current veterinarian Vet's Phone Please list any other pet(s) owned within the past 10 years, and circumstances why they are no longer with you: Full name of reference one Phone Number (Reference one) Full Name (Reference two) Phone Number (Reference two) Applicant's Digital Signature (Full Name) * Input date on this format: MM/DD/YY Example: 21/02/2021 Submit
