PLEASE NOTE: Once you have visited our kennel, we will accept deposits to hold a puppy for your family. These deposits are non-refundable and are considered a promise or a "good faith" commitment on
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: