Questionnaire

Puppy Questionnaire
Want to be put on our reservation list for a puppy? Please fill out our questionnaire and we'll get back to you.

* indicates required fields

*Name:

*Email Address:

*Complete Mailing Address:

*Telephone Number:

*Are you inquiring about a:

*What are you using this dog for?:

*Have you owned a Shepherd or any dog before?:

Yes
No

If you've had a dog tell us what happend to it.:

Tell us what attracts you to a German Shepherd:

*Is your home:

Please tell us about your yard ?(fenced,dog run):

*Where will this dog live primarily?:

*How many Adults live in your home ?:

*How many Children live in your home ?:

*What ages are your children:

1-5
5-10
10-14
14-19
none

Do you have any pets? If so tell us about them.:

*What provisions will be made 4 the dog during work:

Tell us a bit what you are looking for in a puppy:

*What do you do as for work?:

*Please provide us with 2 references:

After filling the details click on the SUBMIT button.