EmailMe Form - Guardian Home Application

Name *

First Last

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Email *

Please attach a photo of your Drivers License *

Phone *

### - ### - ####

Emergency Contact

Name *

First Last

Relationship *

Phone *

### - ### - ####

Email

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Please check appropriate box *

Family with kids

Single

Single with kids

Other, please explain

Do you have any children under 12 years old? If so please explain *

No

Yes Please Explain

Gender you wish to have *

Male

Female

Puppy or Adult Gaurdianship *

Puppy

Adult

How did you hear about us? *

Are you wthin 2.5 hours from us? *

Yes

No

If you have a guardian home female, are you aware that you will be required to relinquish her to us for a period of approx 1 week when she is in heat and 8+ weeks for every litter she has? This could be up to twice a year. Will you and/or your family be emotionally prepared to part with the dog for this length of time? We will do our best to give visitation to guardian family, but do not promise it. *

Yes

No

If you have a guardian home male, do you realize that you will be required to relinquish him to us for a period of approx. 3-7 days when the female he is needing to breed is in heat? *

Yes

No

If you have a guardian home puppy, do you realize that we need to tell you how to raise this puppy to be solid and always touched everywhere. To be crated appropriately to ensure he or she grows up the proper way so that when the time comes we can have a successful breeding. This dog should be well socialized with all people and be use to all sorts of different places. More detailed explanation will be given when the time comes. *

Yes

No

Have you any experience or have owned a dog or puppy before. Please explain your dog history. *

Do you agreee to become part of the Shiphra Shepherds family by joining us on facebook for messaging and the family private group we have. We need to be in close contact. This is a partnership. *

Yes

No

Are you willing to relinquish any and all decisions on the breeding life of the dog to us? Our guardians are important to us and we appreciate their interest in breeding. However, we want our guardians to be able to trust us to always make the right decision for the dog and it's health and well-being *

Yes

No

Does anyone in your household have allergies to German Shepherds? *

Yes

No

Are you prepared to put training into your puppy or adult to ensure they are or become a well mannered adult dog? Are you ready to pay for training and or bring your puppy or dog over to be assessed once and a while to check on the status and behavior or the puppy or adult dog? *

Yes

No

Are you willing to travel to deliver the guardian dog for breeding, whelping and well being and training checkups? *

Yes

No

Describe your scenario outside the house. Do you have fenced yard or live in the country. Where will the dog stay and play and run outside? *

Are you willing to receive advice from us about the food and nutritional recommendations and training? *

Yes

No

What do you like or dislike about our breeding program?

Please let us know if you have any question about the guardian program, or have additional information you want to add about your family *

Do you understand and agree to the terms listed above?

I certify that the information provided on this form is true and correct. I am also financially and physically able to care for this animal. I understand that proper food and veterinarian care can be costly and I am able to meet these requirements. • By signing below, I acknowledge that I have completely read this application and understand it fully. *

Yes, I understand and agree to the terms listed above.

Signature *

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