Please carefully review your application before submitting it. If you realize any errors on your application please contact us by email or call us at 303-838-1132 during office hours. Thank you for your application! Your name: Email Address: Address: City: State: Zip: Phone: Work Phone: Good time to call if we need to reach you: How were you referred to us? Desired sex of puppy: MaleFemaleNo Preference Desired pigmentation: BlackBlack/TanBlack/RedSable Desired structure: LargeStandardSmallNone Why are you interested in obtaining one of our shepherds? CompanionObedienceProtection Additional Information (Please be very detailed about your family & lifestyle, as it aids in our placement process, providing you the best possible companion for your lifestyle and need!): What qualities do you like in a G.S.D? Is this your first G.S.? Yes No Previous Dogs: Animals at home now (Specific/Sex/Age/Breed & General Personality): Are you willing to spay/neuter this dog: Yes No If not, why not? Family Data: Married Single Your age: Children (#, Sex, Age): Occupation of Adults in family: Where will the dog stay during the day: Where will the dog stay at night? Do you live in? City Suburban Rural Type of Residence: Home Apartment Rent Own Please add any additional information you wish us to consider in our pup placement:

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