Puppy ApplicationName(Required) First Last Phone(Required)Email(Required) Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Spouse's/Significant Other's First NameSpouse's/Significant Other's Last NameHow Many Children?(Required)What Are the Age of the Children?(Required)How did you hear about us?(Required)Puppies.comGoogleLancasterpuppies.comBuckeyepuppies.comFriend/Family Member ReferralOther Search EngineOther ReferralOtherIs this your first pet?(Required)Have you ever owned a dog before? If yes, please tell us about your dog.(Required)Does anyone in your family have allergies? If so, please describe.(Required)What type of adult temperament do you prefer?(Required)Describe your lifestyle.(Required)Do you have a preference of male or female?(Required) Male FemaleHave you ever owned a German Shepherd?(Required) Yes NoHave you familiarizd yourself with the German Shepherd breed and it's requirements?(Required) Yes NoGrooming, Exercise, ECT.Explain what type of exercise you will give?(Required)Do you have a preference on coat type? Standard Long HairWhat timeframe are you looking to add a puppy?(Required)Is there a particular litter and/or pup that you are interested in?Please list your vet reference including telephone number.Do you understand the time, expense, and commitment involved in adding a puppy to the family?(Required) Yes NoDo you agree to the following?(Required) Feed high quality food Regular vet visits and appropriate shots Deworming and heart worm protection Never allow your puppy to be an outside only dog Agree to take your puppy through at least minimum of obedience trainingDo you plan on spaying or neutering?(Required) Yes NoDo you have any specific concerns or questions you would like us to address, or comments you would like to add?Have you ever given a dog away to rescue or shelter?(Required) Yes NoMay we contact you via phone call?(Required) Yes NoHealth Guarantee(Required) I agree to the health guarantee.HEALTH GUARANTEE STATEMENT The health of this dog is excellent to the best of our knowledge at the time of sale. The required vaccinations and worming are current as indicated on the Health Record. This dog is guaranteed to be free of any non-treatable, life threatening genetic defects for a period of ONE YEAR from the purchase date. Any genetic defect must be confirmed by a competent, licensed veterinarian. A complete report must be sent to Dazzling Puppies within 48 hours after the determination. Dazzling Puppies is not responsible for any vet or shipping costs incurred by the buyer. Dazzling Puppies will not replace dog if there are any signs of neglect or abuse. In the event of death of dog; cause must be determined by autopsy at the expense of buyer. If cause of death is found to be genetic Dazzling Puppies will replace dog if death is within ONE YEAR of purchase date. Dog must be examined by a veterinarian within 7 days of purchase date for this guarantee to be valid. Buyer must contact Dazzling Puppies and give vet check results within the week. Dog is guaranteed against fatal viruses including: distemper, parvo, and corona for ONE WEEK. This does not include hypoglycemia giardia, coccidia, kennel cough and any internal or external parasites. This guarantee is valid for a replacement dog of equal value only. UNDER NO CIRCUMSTANCES will any refunds be given except at Dazzling Puppies discretion. In case a defect is found dog must be returned to Dazzling Puppies to qualify for a replacement dog. Buyer must feed quality dog food (such as Eukenuba or Royal Canin) and keep dog current on worming and vaccines. Buyer understands that Dazzling Puppies cannot guarantee the temperament and behavior which this dog will hereafter exhibit, that the temperament and behavior this dog will hereafter exhibit will be a function of, among other things, the treatment, training and discipline the dog hereafter receives and that Dazzling Puppies will bear no responsibility for or involvement with this dog in any such matters after the Buyer’s purchase. Accordingly, in consideration for Dazzling Puppies agreement to sell this dog to the Buyer, the Buyer hereby releases and forever discharges Dazzling Puppies from any and all claims or liability for any damage, injury or death caused by this dog to the Buyer or any minor child of the Buyer. In addition, the Buyer agrees to indemnify, defend and hold the Seller harmless from any and all claims or liability for any damage, injury or death caused by this dog to the Buyer, any minor child of the Buyer or anyone other than the Buyer or a minor child of the Buyer. Buyer agrees that seller will not be liable for anything whatsoever other than the terms laid out in this contract. Buyer understands that seller cannot guarantee size or breeding ability. In the event of dispute Indiana will have jurisdiction over the matter in Elkhart County. The Buyer shall reimburse Dazzling Puppies for all costs and expenses, including attorney’s fees, incurred by Dazzling Puppies in enforcing the terms of this Statement. If any terms of this agreement are ignored or violated this contract will be null and void. I hereby sign to the above terms and conditions.CAPTCHANameThis field is for validation purposes and should be left unchanged.