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  about 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.

First & Last Name:
Home Phone#:
Cell Phone#:
COMPLETE Home Address:
Email Address:
Age:
Occupation:
Work number (include area code):
Spouse/Significant others Name:
Phone#:
Do you have children? If yes, Please list names, age and if they live with you full or part-time.
Are you wanting a German Pinscher for yourself or other?	Self Other
If other, please explain:
Have you owned or do you own a German Pinscher?
Please describe each person in the households experience with dogs:
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
Your residence:	Home Condo Apartment Other
If you chose "other", please explain:
Do You Own or Rent?	Own Rent Other
If you chose other, please explain:
If you rent, please provide your landlords name, address and phone number.
Describe environment in which you live(ie: suburb, City, Country)
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 Bedroom Basement/Garage Fenced Yard Other(describe)
Describe area:
How many hours per day, 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?
Do you have other pets living in the home? If yes, Please list each species, breed,sex:
If you previously owned a dog(s) please explain where they are now:
Please list (if any) all breeder(s)and, their contact information that you purchased dogs from:
Do you have time to obedience train you new dog at least one day per week up to 16 consecutive weeks or more?
Do you have the funds required to properly care for a dog (first year $2000+- training, vet care, food etc.)
Do you have a regular veterinarian? If yes, please enter Name of Vet, Clinic name and phone number including area code:
Owners Personal References(other than family) NAME:
Phone Number (include area code):
2 Reference Name:
2 Phone Number:
3 Reference Name:
3 Phone Number:
Please tell us why you chose the German Pinscher, what research you have done and what you have learned about the German Pinscher:

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Washington State - USA
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