CONTACT INFORMATION:

 NAME

 

 (Complete as name to be shown  on Registration including co-owner, if any)

ADDRESS

CITY

 STATE   

ZIP  

HOME PHONE

     WORK PHONE 

EMAIL

   CELL PHONE 

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

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

PUPPY GENDER PREFERENCE:
MALE      FEMALE     WHY : 

WHAT ARE YOUR PLANS FOR YOUR Legacy Ridge Kennel 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:

DO YOU HAVE ANY OTHER ANIMALS?     NO     YES - PLEASE LIST:        

REASON FOR WANTING A Legacy Ridge Kennel GSP:

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

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?

DO YOU UNDERSTAND THE DIFFERENCE BETWEEN LIMITED AND FULL REGISTRATION?    
  NO     YES 

(WHEN YOU CLICK [SUBMIT] THIS FORM WILL BE EMAILED TO Legacy Ridge Kennels)