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?
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.