Name *

First Name

Last Name

Phone

(###)

###

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I am interested in:

Young Dog ( 8 weeks - 12 weeks)

Older puppy (3 mos. - 12 mos)

I am interested in:

Male

Female

Male or Female puppy

I am interested in :

Long coat

Stock coat

Coat length does not matter

I plan this dog to be: (check all that applies)

Family pet

Personal Companion

Breeding Prospect

Service Dog

I would prefer to bring this puppy/dog home:

Immediately or as soon as the puppy is ready

In the next couple months - willing to wait for an upcoming litter

Are you planning to spay/neuter your dog?

Yes

No

Do you have experience with large breed dogs?

Yes, have/had a German Shepherd

No, This will be my first German Shepherd