Puppies German Shepherd Dog

Potential Puppy Client Information

Thank you for your interest in our puppies.
Please answer the following questions so that we may help you in selecting the right puppy for you. All information is confidential and used only by us at Miracle Shepherds.

FULL NAME:
SPOUSES NAME:
E-mail Address:
Address:
State:
Country:
Zip/Postal Code:
Phone (home):
Phone (other):
Please List Ages of Household Members:
Please List any other Animals in your household:
Type of Animal Desired:
Why are you interested in one of our puppies?
What qualities do you want in your German Shepherd Dog?
What don't you want to find in your German Shepherd Dog?
Is this your first German Shepherd Dog?	Yes No
Are you willing to spay/neuter this dog?	Yes No
Do you live in a	House Apartment Condo/Co-op Other
If you rent, will a German Shepherd Dog be welcomed by your landlord?	Yes Does Not Apply
Is your yard fenced?	Yes No
If fenced, type and height
Do you and your spouse work?	Yes No Full Time Part Time
Where will your dog stay during the day?
Where will your dog stay during the night?
Are you familiar with a dog crate?	Yes No
Do you own a dog crate?	Yes No If yes, type/size crate:
What are the leisure-time activities of your family?
How were you referred to us?

Submit this form if you are committed to caring for this dog for its lifetime.

How should we contact you?

Email: Phone: