Application For a German Shepherd
Please fill out the following application and click the submit button at the bottom of the page. If your application was submitted successfully you will be taken to another page that will tell you that we have received your application, and you should hear from us soon.
Date:
Name: Spouse's Name: Street Address: City: State: Zip: Home Phone: Cell Phone: Fax: E-mail address:
Number of children in the family? 0 1 2 3 4 5 6 7 8 9 10 Ages?
Why did you decide to get a dog? Why did you decide to get a German Shepherd? About the veterinarian that you use or plan to use: Name: City: State: Zip: Phone number:
What type of fence or structure will you use to protect your dog? (Choose all that apply) House dog Fenced-in yard Runner cable/chain Pen Room to roam What qualities do you and don't you desire in a dog? Do you prefer a puppy, young adult, or an older dog?: Have you ever owned a German Shepherd? Yes No Do you want your dog to be spayed/neutered? Yes No If not, are you interested in breeding at a later date? Yes No
Do you intend to obedience train your dog? Yes No
Would you most likely prefer a male or a female German Shepherd? Male Female Why?:
Are you interested in any of the following:
Do you have any other animals? Yes No
Reference #1
Name: City: State: Phone:
Reference #2 Name: City: State: Phone:
How did you hear about Sequoyah Shepherds (i.e. what friend, search engine, ad, etc.):
I represent that the above information is true to the best of my knowledge. Furthermore, I recognize that the above information is given to induce owner to sell me a German Shepherd. Any misrepresentation is grounds for termination of contract. I authorize Owner to make such investigation as he sees fit.
I have read the terms and conditions stated below and agree to all of these terms and conditions.
Agree Disagree
GENERAL TERMS AND CONDITIONS AND PERSONAL GUARANTEE
1. The dog's new home will be comfortable, and he will be treated as a member of the family. 2. Dog will be under control of the new Owner at all times. He will not be allowed to roam the neighborhood unless he is on a leash. He will not be permitted to raid neighborhood trashcans, chase cars, or get into other mischief. 3. This dog is NOT a yard ornament. He will NOT be placed within the confines of a fence and ignored, except when fed. Bored dogs (like children) are a nuisance to their owner and the neighborhood in which they live, as they tend to bark for attention. Highly intelligent dogs which become bored may also be destructive. 4. Said dog will be vaccinated for rabies, distemper and parvo in accordance with AVMA recommendations. 5. Said dog will be kept on heartworm preventative at all times. He will also be kept free of fleas, ticks and other parasites.
1. The dog's new home will be comfortable, and he will be treated as a member of the family.
2. Dog will be under control of the new Owner at all times. He will not be allowed to roam the neighborhood unless he is on a leash. He will not be permitted to raid neighborhood trashcans, chase cars, or get into other mischief.
3. This dog is NOT a yard ornament. He will NOT be placed within the confines of a fence and ignored, except when fed. Bored dogs (like children) are a nuisance to their owner and the neighborhood in which they live, as they tend to bark for attention. Highly intelligent dogs which become bored may also be destructive.
4. Said dog will be vaccinated for rabies, distemper and parvo in accordance with AVMA recommendations.
5. Said dog will be kept on heartworm preventative at all times. He will also be kept free of fleas, ticks and other parasites.
P.S. If you have any problems submitting this application, please "Copy and Paste" it into an email. Thank you.
Sherle R. Thompson, DVM Veterinarian and German Shepherd Breeder Chattanooga, TN
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