your part that you are done shopping and have decided to purchase from us.
Application for Casamoko puppies
The following information is intended to help in the selection of a puppy for your household.
All information remains confidential.
Your Name: ______
Address: ______
City: ______State:_____ ZIP:______
Phone: (Home) ______(Work): ______Email______
(Cell)______
Best time to reach you:
How did you hear about Casamoko Shepherds?
Why are you interested in obtaining a Casamoko German Shepherd Dog?
Companion? Show? Obedience? Protection?
Breeding? Other?
Are you interested in a:
Male ______Female ______No Preference ______
What qualities do you like in a German Shepherd Dog?
Is this your first German Shepherd Dog?
Have you owned a dog before? _____ How long?
What animals do you presently own?
Are you committed to caring for this dog for its lifetime? _____
Are you willing to Spay / Neuter this dog? ______If not, please explain:
Have you ever had to euthanize (put to sleep) a dog? ______If so, why?
How do you plan to exercise the dog?
Do you Own or Rent your home? (Please circle)
Do you have a fenced yard?
Where will the dog relieve itself?
Where will the dog stay during the day?
At night?
FAMILY DATA
Married ______Single ______Divorced _____ Widowed ______Partnered______
Your Age:
under 20 ______20-30 ______30-50 ______50-70 ______Over 70?______
Children living at home?: ______How many? ______ages?______
What hours do the adults in your household work?
Provide at least three references, including the veterinarian used for the last dog you owned (if applicable):
1-
2-
3-
Thank you for your interest in Casamoko Shepherds. Please list any expectations you may have for this new
addition and any other information you wish us to consider before placing a shepherd with you: