Shepherd Ark Kennels Adoption Application
Date: ________________
Name (Printed):________________________________________________________________ Address: ______________________________________________________________________ Phone Number:_______________________________ Best time to reach you: ______________ Email: ________________________________________________________________________
Club Affiliation, if any: ___________________________________________________________
How Long Have you Lived At Current Address? _________ If less than 3 yrs,
list your previous address __________________________________________
Names & Ages of everyone living with you: __________________________________________ ______________________________________________________________________________
Name & Contact Info of your Veterinarian: ___________________________________________ ______________________________________________________________________________ Have you ever owned a German Shepherd Dog before? __________
If so, where did you purchase your GSD? _____________________________ When? _________ How many years have you owned GSD’s? ____________________
Do you currently have any other dogs living with you? __________________________________
Are they Spayed/Neutered? _____ If not, why? _______________________________________
Why do you want a German Shepherd puppy? ________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ What are your goals / expectations of the puppy? _____________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Where will the puppy be spending most of his/her time? _______________________________
During the day: _________________________________________________________________
At night: ______________________________________________________________________
How many hours a day will the puppy be left alone? ___________________________________
Do you have a preference of color / sex of the puppy? __________________________________ ______________________________________________________________________________
Please list 3 personal references Name:_____________________________________
Relationship to you: __________________
Address: ______________________________________________________________________ Phone: ______________________________ email: ____________________________________ Name:_____________________________________ Relationship to you: __________________ Address: ______________________________________________________________________ Phone: ______________________________ email: ____________________________________ Name:_____________________________________ Relationship to you: __________________ Address: ______________________________________________________________________ Phone: ______________________________ email: ____________________________________
Do you have any specific questions for us? (please list below) ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________
681 State Route 414 ~ Clyde, NY 14433 ~ 315-573-0945 ~ shepherdarkkennels.com