If you would like to be considered for one of our Puppies/Dogs, we require this application to be filled out.
The application will take 3-5 minutes to complete, before you start, please be sure you have any reference information,
your veterinarians information, and any past breeders information from whom you have previously purchased dogs (if applicable).

After we receive your application we will contact you within the week. If you do not here from within a week of sending your application or you have trouble with this form, please contact us at  ReigningGPS@msn.com

*Please note some fields require an entry, if you do not have the answer or information , enter  N/A  or make a selection.

All of our dogs are sold on contract.

Name:
Email Address:
Home Phone#:
Cell Phone#:
Alternate#:
Home Address:
Are you wanting to purchase a GP for yourself, or for another person? If for another person, please explain.
Have you owned or do you own a German Pinscher?
Please describe your experience as a dog owner:
What are you looking for?	PET Conformation (Show Dog) Obedience/Agility/Rally Other
What sex do you prefer?	Male Female No Preference
Age?	Puppy Under 16 weeks Puppy 16 weeks or older Adult No Preference
I would also consider:	Retired Show Dog Rescue
What color preference?(we only breed for the colors listed below)	Black&Red/Tan Red/Stag Red No Preference
Ear Preference?	Natural Cropped No Preference
Do you have a regular veterinarian? If yes, please enter Name of Vet, Clinic name and phone number including area code:
Where will your dog spend the DAY?	Crate Kennel Run Loose Indoors Basement/Garage Fenced Yard Other(describe)
Describe area:
Where will the dog spend the NIGHT?	Crate Kennel Run Loose Indoors Owners Bed Owners Bedroom Basement/Garage Fenced Yard Other (describe)
Describe area:
How many hours, on average will the dog be left alone?	0-4 Hours 5-8 Hours 9 or more Hours
Reason the dog will be left alone, how many days a week?
How many Adults living in the home?
Adults experience with dogs:
How many children living in the home? list if children live with you full time or part-time
Ages of all children?
Children's experience with dogs:
What species of animal (s) (ie cat, dog etc.) currently living at your residence, AND how many of each.
Please list all dog breeds that you previously owned and, if no longer with you, why: (Please be specific)
Please list all breeder (s) you previously purchased from and, their contact information:
Owners Personal References (other than family) NAME:
Phone Number (include area code):
2 Reference Name:
2 Phone Number:
3 Reference Name:
3 Phone Number:
Additional References
Please tell us why you are choosing the German Pinscher, what research you have done on the breed, and what you have learned:

~ Reigning German Pinschers ~
Lesa Haynes - Bellingham, WA - 1-360-398-1682 - ReigningGPS@msn.com
This website and its contents are owned by Lesa Haynes. All copyright laws apply, no reproduction or copy permitted without permission.