|
CONTACT INFORMATION: |
|
NAME |
|
|
(Complete as name
to be shown on Registration including co-owner,
if any) |
| ADDRESS |
|
| CITY |
|
STATE
|
ZIP
|
| HOME
PH |
WORK PH
|
| EMAIL |
CELL PH
|
| HOW
LONG HAVE YOU LIVED AT THIS ADDRESS? |
| REFERRED
BY: |
|
| BREED
INFORMATION: |
| HOW
DID YOU HEAR ABOUT THIS BREED? |
| WHAT
REFERENCE MATERIALS HAVE YOU READ? |
|
| WHAT
DO YOU EXPECT THE ACTIVITY LEVEL OF THIS BREED TO BE? |
| VERY
HIGH HIGH
MODERATE
BELOW
AVERAGE |
|
| TYPE
OF DWELLING: |
| HOUSE
CONDO
APARTMENT
MOBILE
HOME |
|
| WHAT
KIND OF FLOOR SURFACES WILL THE DOG BE ON IN THE
HOUSE? |
|
| IF
RENTING, PLEASE GIVE CONTACT INFORMATION OF LANDLORD: |
| NAME:
|
| ADDRESS:
|
| PHONE:
|
|
|
FAMILY STATUS: |
|
SINGLE
MARRIED
- SPOUSE NAME: |
|
| DOES
ANYONE IN YOUR HOUSEHOLD HAVE ALLERGIES TO
ANIMALS? YES
NO |
| IF
YES, TO WHAT AND HOW SEVERE? |
|
| CHILDREN
LIVING AT HOME: |
|
NO
YES
- NAMES AND AGES: |
|
| PUPPY
GENDER PREFERENCE: |
| MALE
FEMALE
WHY : |
|
|
|
WHAT ARE YOUR PLANS
FOR YOUR Legacyk
GSP? |
| SHOW
DOG OBEDIENCE
AGILITY
HOUSE
PET THERAPY
DOG HUNTING |
|
| HAVE
YOU EVER SHOWN A DOG TO IT'S
CHAMPIONSHIP? YES
NO |
|
| HAVE
YOU EVER SHOWN A DOG TO ANY PERFORMANCE
TITLES? YES
NO |
|
| DO
YOU INTEND TO BREED THE DOG? YES
NO |
|
|
| PREVIOUS
DOG EXPERIENCE: |
| HAVE
YOU EVER OWNED A DOG BEFORE? |
YES
NO |
|
|
| HAVE
YOU OWNED A GSP BEFORE? |
YES
NO
STILL
DO |
|
|
LIST DOGS CURRENTLY
OWNED INCLUDING BREED, REGISTERED NAME, AND TITLES: |
|
|
|
|
LIST DOGS PREVIOUSLY
OWNED INCLUDING BREED, REGISTERED NAME, AND TITLES: |
|
|
| HOW
LONG DID YOU LAST PET LIVE? WHAT WHERE THE
CIRCUMSTANCES OF ITS' DEATH? |
|
|
| DO
YOU HAVE ANY OTHER ANIMALS? NO
YES
- PLEASE LIST: |
|
|
REASON FOR WANTING A Legacyk
GSP: |
|
|
|
ARE YOU CURRENTLY A
MEMBER OF A DOG SHOW CLUB, OBEDIENCE CLUB, OR OTHER
DOG CLUB? LIST CLUBS IN WHICH YOU ARE A
MEMBER. |
|
|
| WILL
YOU BE ATTENDING ANY TRAINING
CLASSES? YES
NO |
| IF
YES, AT WHAT AGE WILL YOU START? |
| WHICH
ACTIVITIES/COMPETITIONS ARE YOU INTERESTED IN AND WHO
IS THE TRAINER? |
|
|
|
HOW FAR WILL YOU TRAVEL
TO GET YOUR PUPPY? |
|
|
| WHAT
AGE DO YOU WISH TO GET YOUR PUPPY? |
|
| HAVE
YOU CONSIDERED AN OLDER DOG INSTEAD OF A
PUPPY? YES
NO |
|
|
IS SOMEONE HOME DURING
THE DAY? YES
NO |
|
| WHO
WILL BE THE PRIMARY CARE GIVER? |
|
| HOW
LONG WILL PUPPY BE LEFT ALONE? |
|
|
| HOW
MANY HOURS A DAY WILL THE PUPPY BE KEPT
OUTSIDE? |
|
| WHERE
WILL PUPPY BE KEPT AT NIGHT? |
|
|
| WHERE
WILL PUPPY BE DURING THE DAY? |
|
|
| DO
YOU HAVE A FENCED YARD? |
YES
NO |
APPROXIMATE SIZE: |
|
|
| HAVE
YOU EVER HOUSE TRAINED A DOG
BEFORE? YES
NO |
|
| HAVE
YOU EVER RETURNED A PET TO THE BREEDER? IF SO,
WHAT WERE THE CIRCUMSTANCES? |
|
|
| HAVE
YOU EVER GIVEN A PET AWAY? IF SO, WHAT WERE THE
CIRCUMSTANCES? |
|
|
| HAVE
YOU TAKEN A PET TO A POUND OR SHELTER? IF SO,
WHAT WERE THE CIRCUMSTANCES? |
|
|
|
| CURRENT
OR PRIOR VETERINARIAN FOR REFERENCE: |
|
NAME:
|
| ADDRESS:
|
| PHONE:
|
| |
| DO
YOU UNDERSTAND THE DIFFERENCE BETWEEN LIMITED AND FULL
REGISTRATION? |
|
NO
YES |
|
(WHEN YOU CLICK
[SUBMIT] THIS FORM WILL BE EMAILED TO Legacyk) |
