Abintra Afortori Kennels

Potential Puppy/Dog Client Information

[IMAGE]
AA's Remington vd HoyleHaus

Thank you for your interest in our dogs. We would appreciate your answering the following questions so that we can more easily test and select the right puppy/dog for you. All information is confidential and used only by Abintra Afortori Kennels. Thank you for your cooperations and help in answering our questions.
Your Name: __________________________________________________________
Your Address: _______________________________________________________
City: ________________________________ State: __________ Zip:___________
Phone Number(home):__________________________ (work):____________________
Good time to call if we need to reach you: ________________________________
How were you referred to us?:______________________________________________
Are you interested in a puppy( )________________________
Older trained dog( )______________________________
Male_____ Female______ No Preference_______________________
Pigmentation desires(circle) Blond Face / Blond Face with Mask / Dark Face
Additional Information___________________________________________________________
Structure/Size preference(circle) Large Standard Small Long-haired None
Additional Information___________________________________________________________
Why are you interested in obtaining one of our shepherds? (Circle) Companion / Show/Breeding / Obedience Ring / Protection Additional Information___________________________________________________________
_________________________________________________________________________________
What qualities do you like in the GS breed?____________________________________________
What don't you want to find in a GSD?__________________________________________________
Is this your first GSD?_______________ Previously owned dogs?_______________________
Animals presently at home now?___________________________________________________
Have you examined our Contract?__________ Are you committed to caring for this dog for its lifetime?____________
Have you ever had to euthanize an animal?__________ If so, why?_____________________________________
Are you willing to spay/neuter this dog?___________ If not, why?____________________________________
If you are considering breeding, do you promise to have this dog x-rayed for dysplasia and to consult
Abintra Afortori Kennels prior to breeding?____________

FAMILY DATA
Are you: Married / Single / Divorced
Your age_______________ Spouse___________________ # of Children_____ Ages__________
Occupation of adult(s) in family__________________________________________________________________
Others in household who will have contact with dog__________________________________________
Where will dog stay during the day__________________________________________________________
Where will dog stay during the night________________________________________________________
Do you live in: (circle) Urban Suburban Rural
Do you: Own Home / Rent / Apt.
Further Information_________________________________________________________________________
What books have you read on dog care and training?________________________________________________
__________________________________________________________________________________________________

Please use the reverse side of this sheet to add any further information you wish us to consider in placing one of our German Shepherds with you. We wold appreciate if you would give us a little insight into the expectations you may have for this new addition to your family. Thank you again.

Christine Neville
rncnev@ameritech.net

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