| NAME #1: |
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| NAME #2: |
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| ADDRESS: |
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| CITY, STATE & ZIP CODE: |
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| HOME PHONE: |
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| CELL PHONE #1: |
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| CELL PHONE #2: |
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| EMPLOYER #1: |
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| WORK PHONE |
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| EMPOLYER #2: |
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| WORK PHONE: |
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| LIST GENDER AND AGE OF ALL PEOPLE LIVING IN YOUR HOME: |
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| LIST GENDER, SPECIES AND AGE OF OTHER PETS IN YOUR HOME: |
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| ARE THE OTHER PETS SPAYED OR NEUTERED?: |
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| HAVE YOU BRED ANY OF THE DOGS YOU HAVE AT THIS TIME?: |
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| WHAT ATTRACTED YOU TO GERMAN SHEPHERD DOGS?: |
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| WHAT ARE YOU LOOKING FOR? ...PUPPY,YOUNG ADULT OR YOUNG ADULT WHO IS HOUSE BROKEN |
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| WHICH GENDER WOULD YOU LIKE?....MALE, FEMALE, DOESN'T MATTER: |
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| WHAT ACTIVITIES ARE YOU PLANNING FOR YOUR PUPPY/DOG?....OBEDINECE, RALLY, CONFORMATION, AGILITY, SCHUTZHUND, BREEDING OR OTHER... |
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| IF YOU PLAN TO COMPETE IN CONFORMATION SHOWS, AGILITY, OBEDIENCE, RALLY, SCHUTZHUND AND OR OTHER, ARE YOU WILLING TO HIRE A PROFESSIONAL HANDLER TO FINISH YOUR DOG/PUP TO HIS/HER CHAMPIONSHIP IF NECESSARY?: |
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| DO YOU HAVE A COLOR OR OTHER TRAIT PREFRENCE? WHAT IS YOUR PREFERENCE?: |
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| ARE YOU WILLING TO SPAY/NEUTER IF YOU PURCHASE A PET/COMPANION? IF NOT, WHY?: |
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| DO YOU HAVE A FENCED YARD? WHAT TYPE OF FENCING? SQUARE FOOTAGE? HEIGHT?: |
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| DO YOU LIVE IN A HOUSE, APARTMENT, ETC.....?: |
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| IF YOU RENT WILL YOUR LANDLORD WELCOME YOUR GERMAN SHEPHERD? (A letter from your landlord, on his company letterhead, giving permission will be required.): |
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| WHERE WILL YOU HOUSE YOUR GERMAN SHEPHERD DOG? (IN A KENNEL, INDOORS, FENCED YARD, ETC....)?: |
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| IF INDOORS HOW WILL YOU HOUSE-BRAKE YOUR NEW DOG? (CRATE TRAINING, CONSTANT SUPERVISION, ETC....)?: |
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| DO YOU & YOUR SPOUSE WORK? PART-TIME? FULL-TIME: |
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| IF YOU AND YOUR SPOUSE WORK WHERE WILL YOUR GERMAN SHEPHERD STAY WHILE YOU BOTH ARE AT WORK?: |
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| WILL SOMEONE BE ABLE TO LET YOUR PUPPY OUT TO RELIEVE HIMSELF/HERSELF WHILE YOU ARE WORK? WHAT ARRANGEMENTS CAN YOU MAKE TO SEE THAT THIS IS DONE?: |
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| WHERE WILL YOUR GERMAN SHEPHERD DOG SLEEP AT NIGHT?: |
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| WILL YOUR GERMAN SHEPHERD DOG BE KEPT ON A CHAIN OR TIE OUT OF ANY KIND, AT ANY TIME?: |
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| ARE YOU FAMILIAR WITH A DOG CRATE? HOUSE BRAKING WITH A DOG CRATE?: |
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| ARE YOU WILLING TO TAKE YOUR PUPPY/DOG TO PUPPY OR OBEDIENCE CLASS? IF NOT, WHY?: |
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| HAVE YOU EVER BREED OR WHELPED A LITTER OF PUPPIES?: |
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| WHERE DID YOU HEAR OF LIBERTY GERMAN SHEPHERDS?: |
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| WOULD YOU BE PICKING UP YOUR PUPPY OR WILL HE/SHE NEED TO BE SHIPPED?: |
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| DO YOU LIVE IN AN AREA THAT HAS A DOG ORDINANCE? DOES IT RESTRICT BREEDING? OR HAVE A MAX NUMBER OF ANIMALS YOU CAN OWN ETC…ETC…?: |
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| WHO IS YOU VET? HIS/HER PHONE NUMBER?;: |
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| DO YOU HAVE ANY QUESTIONS FOR US?: |
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| IF YOU DO NOT HAVE A VET AT THIS TIME? WHICH VET DO YOU PLAN ON USING?: |
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| PLEASE GIVE A REFERENCE (BREEDER, GROOMER, FRIEND etc...)? RELATION TO YOU? AND HIS/HER PHONE NUMBER?:: |
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| PLEASE GIVE A REFERENCE (BREEDER, GROOMER, FRIEND etc...)? RELATION TO YOU? AND HIS/HER PHONE NUMBER?:: |
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| PLEASE GIVE A REFERENCE (BREEDER, GROOMER, FRIEND etc...)? RELATION TO YOU? AND HIS/HER PHONE NUMBER?: |
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