If you fill this out in Word, it's fine if the application overflows to a second page. Attach it as a file and e-mail it
to: CarolPitlock@aol.com  or mail it to: Carol Pitlock, P.O. Box 225, Cypress TX 77410.  
Phone/fax: 281-304-0468. Please contact us by phone if you do not hear back from us within 48 hours. 

Name: _____________________________________________________ Date: ______________________
Address: ___________________________________________________ City: _______________________
State: _____ Zip: ___________ E-mail Address:________________________________________________
Phone: Home#:_____________________ Work#:______________________ Cell#:___________________

1.   Why did you decide on a German Shepherd Dog? 

2.   Have you ever owned a German Shepherd? Please explain.  

3.   What dogs do you currently own (name, breed, age)? Have owned? 

4.   What other pets are in your household? 

5.   Spouse’s name Do you have children at home? What are their ages? 

6.   Do all members of your family agree to the addition of a German Shepherd Dog to your home? 

7.   Is this dog for your children or the entire family? 

8.   Will this dog be included in your family life? Vacations, etc.? 

If you fill this out in Word, it's fine if the application overflows to additional pages. Attach it as a file and e-mail it to: CarolPitlock@aol.com or mail it to: Carol Pitlock, P.O. Box 225, Cypress TX 77410 You may also fax it. Phone/fax: 281-304-0468. Please contact us by phone if you do not hear back from us within 48 hours. 

Name: ________________________________________________ Date: _________________
Address: ___________________________________________ City: _____________________
State: ____ Zip: __________ E-mail Address:________________________________________
Phone: Home#:__________________ Work#:__________________ Cell#:________________

1.   Why did you decide on a German Shepherd Dog? 

2.   Have you ever owned a German Shepherd? Please explain.  

3.   What dogs do you currently own (name, breed, age)? Have owned? 

4.   What other pets are in your household? 

5.   Spouse’s name

6. Do you have children at home? What are their ages? 

6.   Do all members of your family agree to the addition of a German Shepherd to your home? 

7.   Is this dog for your children or the entire family? 

8.   Will this dog be included in your family life? Vacations, etc.? 

9.   Will this dog be allowed inside your home?

10. Will any area be off-limits?          If yes, explain:  

11.  Where will this dog sleep? 

12.  Describe this dog’s typical day as a puppy

13.  Describe this dog’s typical day as an adult

14. Do you rent or own your home?

15.  What type of outdoor enclosure do you have (fence, dog house, run, etc.)?

16. Where will this dog be when you are not home?

17.  Do you have a gender preference?                          Color preference?

18.  Is money an issue?   

19.  Do you realize this dog will be with you for about 10 to 15 years? 

20.  If your situation changes, such as job or move, would you plan to take this dog with you? 

21.  In the event of serious illness or accident, would you be financially able to and will you care for this dog? 

22.  Are you willing to commit to care for this dog in its advancing age?    

23.  Are you willing to spend the money to see that this dog has proper medical care at all times?

24.  Do you intend to train this dog to be a socially acceptable canine good citizen? 

25.  Do you plan to spay or neuter this dog?            If no, do you plan to use this dog for breeding? 

26.  Are you interested in training and showing this dog in Conformation?                Obedience? 

27.  Have you ever showed a dog before?            If yes, explain:

28. Veterinarian reference?

29.  Who referred you to us?

30. Anything else you want to add?

PRINT YOUR NAME: __________________________________________

SIGNATURE: ________________________________________________