Puppy Adoption Application Form / Puppy Adoption Process / Our Services

Name: *

Street address *

City, State, Zip *

Email address *

Phone number *

Please list the relationship and age of all permanent adult residents of the home (include yourself) *

Please list how many children live in your home and their ages.

Please list all pets currently in your home (species/breed/sex/age/altered-yes/no) .

Is anyone in the household allergic to dogs? *

yes
no

Does anyone in the household have other life threatening allergies? *

yes
no

If yes, please explain.

Do you rent or own? *

rent
own
other

If other, please explain.

What type of residence do you live in? *

single family home
condo/townhome/duplex
trailer
apartment
other

If other please explain.

Do you have a yard? *

I have a yard with a fence.
I have a yard with no fence.
I don't have a yard.

If you don't have a yard, do you have access to a place to train and exercise your dog safely? (If yes, please explain)

Do you have experience with the German Shepherd Dog breed? Please explain. *

Are you willing to take your puppy to regular training and socialization classes? *

yes
no

Are you willing and financially able to do whatever it takes to help your puppy adjust, and work with a trainer should any training issues arise, and provide any necessary veterinary/health care for the life of your puppy? *

yes
no

Do you prefer certain coat colors? (check all that apply)

black and tan
black and silver
black and red
sable
black
bi-color
white
blue
liver
Isabella
cream
no preference

Do you prefer certain coat types? (check all that apply)

stock(short)
stock(med)
plush
long coat

Do you prefer a certain drive? (check all that apply)

low
medium
high

By providing a veterinary reference, you authorize KLB German Shepherds to contact your vet/clinic with questions and/or to share your puppy's records from their time in our care. *

I understand.
I decline to provide a veterinary reference.

Veterinary Clinic

Veterinarian's Name

Veterinarian's Street Address

Veterinarian's City, State, Zip

Veterinarian's Phone Number

I have answered the above questions truthfully and understand that by submitting this application I am not obligated to purchase a puppy from KLB German Shepherds, nor are they obligated to place a puppy in my care. *

I understand and agree to these terms.
I do not understand or agree to these terms.

Applicant's Electronic Signature - By entering my name in the textbox below I agree that the signature is the legal equivalent of my manual signature. *