GERMAN SHORTHAIRED POINTER CLUB OF AMERICA, INC.

Please provide the following contact information:

Name
Street Address
Address (cont.)
City
State/Province	CA NV (Northern CA or NV only)
Zip/Postal Code
Work Phone
Home Phone
FAX
E-mail

Reason for wanting a GSP:

Gender Preferred:    Male    Female    Either

Why the above gender choice?

Preference in age? Why?

Color preference:   

Select any of the following options that apply:

Housepet
Hunted
Will do obedience
Competed

Other, explain:   

Name(s) of GSP(s) you are interested in:   

How will you train your GSP? 

Ever owned a GSP?    YES    NO

Still own a GSP?:    YES    NO

If not, what happened to it?

If it passed on, how and at what age?

Other breeds previously or currently owned:

If no longer owned, what happened?

If still owned, what gender, age?

Other current pets (please include birds, gerbils, rabbits, cats, etc.):

Current pets spayed/neutered?      YES      NO

If not spayed/neutered, why?

Have you ever given up an animal?    YES  NO

If so, please explain.

How far would you travel for a dog?   

Time limit in search for dog, if any?

Number of adults living in the home:

Do you have any children?    YES    NO

Ages:  

Are you planning to have children in the future?    YES    NO

If yes, how may this affect the dog's future?

Is acquiring a GSP a family decision (including roommates, future spouses, etc.)?

Is someone home during the day?    YES    NO

How much time would the dog be left alone daily?  

If no one home on a regular basis, will someone take time off when the dog first arrives?

If no one home on a regular basis, what arrangements will be made for dog?

Where will the dog spend most of the day?

Where will the dog sleep at night?

Do you have a yard?    YES    NO

Size   

Fence?    YES    NO

Fence type:   

Fence heights:   

Are you willing to install actual fencing or build a safe run to protect dog?    YES    NO

Do you have a pool?   YES    NO

How do you plan to exercise your GSP?

Do you have a crate?    YES    NO

Willing to purchase crate?    YES    NO

Willing to use crate?    YES    NO

If no, please explain:

Current or prior veterinarian for reference (current address and phone #):

Will you deal with health issues if the dog needs special care?    YES    NO

What would you consider the limitations for medical care to be?

Do you intend to be a single or multiple dog family?   

Do you own or rent the home where you live?  OWN    RENT

If you rent, please provide the name and phone number of your landlord so that we may confirm that you are permitted to have a dog of this size:

GSP Rescue will ask to conduct a home check prior to adoption.  Is this acceptable to you?  YES    NO

Please feel free to add any additional comments that you think may help us to ensure that one of our dogs may be right for you:

How did you hear about us?

Signature:  

Date:   

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