JayDee's Proud-Haus Shepherds
Home of the Total Dog you can be Proud of!!
Prospective Puppy Application
Thank You for your interest in a JayDee's Proud-Haus puppy! Please take a minute (or a few!) to fill out our prospective adopters' application. All submitted applications will be reviewed within 72 hours, and you will recieve an email reply.

Contact info:

Name:


Home address:


Phone/s: please include area code
Home:
Cell:  
Work:

Email:



Tell us about yourself and your family:
How many people are in your household?


What is/are the occupation/s of the adult/s in your household?


Do you have children? yes no
If so, please list their ages and whether boys or girls...


Do you currently have any pets?
yes no
If so, please tell us a little about them: their name, age, species, breed (if known), sex, if altered(spayed/neutered), and about their personality

Please include the name and contact info of your veterinarian's office/s:



Have you had pets in the past?
yes no
If so, please tell us a little about them: their name, age when left your care, species, breed (if known), sex, if altered, why they are no longer with you (i.e., passed away-age, illness, etc.; gave away [and why]; lost/stolen; etc.):



Tell us about your housing situation:

What type of housing do you live in?
single family dwelling apartment/condo/duplex (multi-unit dwelling)
Do you rent or own?
own rent
If you rent, please include your landlord's contact information including phone number/s:


Do you have a fenced-in yard?
yes no
If, yes, how high is it (minimum and maximum height if different), and what type of material/s is it made of?


Do you live in:
the City the Suburbs a rural/country area?


Please tell us a bit about your interest in a JayDee's Proud-Haus puppy:
Why are you interested in having a German Shepherd Dog/White Shepherd puppy/dog?


Are you looking for a male, a female, or either?
male female either

Where will you be keeping this puppy/dog? check all that apply
indoors outdoors kennel

How many hours a day will this puppy/dog be alone?
0-2 2-5 5-8

What are your plans for this puppy/dog? please check all that apply
family pet/companion breeding conformation obedience agility dog sport/schutzhund service dog


Please include any comments or questions you have (if any)...




Please note: On submission, a pop-up box will state that email is being sent in your behalf; it is a normal part of the direct form email process (I do not use an outside server for forms submission for your identity protection). Click "send". Not doing so will NOT transmit your application.
Also, some firewalls prompt a pop-up box, stating "that your email will be revealed to the recipient..." Click "OK", as this is just a security feature from your software to prevent being harvested by spammers, etc. Thanks!!

Upon your submission, you will be automatically relocated back to our puppy page.
JayDee's Proud-Haus Shepherds
Jen Proud, BS, CVT, CT (ASCP) TCVM VTS
Montello, WI
608.618.K911 (5911)
Email