Southwest German Shepherd Rescue
and
White German Shepherd Rescue

If you are interested in training the trainer or uncertain as to whether or not you should re-home your dog, please complete this form, give us a few hours to review it, then call us per the instructions at the end of the form to discuss your options. THANKS.

PLEASE BE SURE TO FOLLOW YOUR SUBMISSION WITH A CALL

PRIVATE TRAINING - DOG PROFILE

 


Please provide us with the following information

Legal Owner's Name: 

Home Email Address:  (MUST BE PROVIDED) 

Phone Number (Day):  (Evening):  Cell Phone: 

Home Address: (ARIZONA ONLY*) 

City:  State:  Zip Code: 

Your Dog's Name: 

Is your dog a purebred GSD or a mix?:    Purebred     Mix    Unanswered

If a mix, what breed(s) is your dog mixed with?:

If another breed, what breed(s) is your dog?:

Male or female?:    Male     Female

Spayed or Neutered?:     No     Spayed     Neutered     Unknown    Unanswered

If intact, are you planning to have your pet spayed or neutered?:     Yes     No    Unanswered

Dog's Age or Date of Birth:

Dog's Primary Color(s):

Is your dog current on all vaccinations INCLUDING RABIES?:    Yes     No    Unanswered

Does your dog have a microchip or tattoo?:    Yes     No    Unanswered

Do you have AKC or SV papers on your dog?:    Yes     No    Unanswered

Where did you get your dog from and how long have you had him/her?: 

If from a breeder, the breeder's name and/or kennel name:

How does your dog typically respond to strangers? (please check all that apply):

Submissive
Submissive
retreats / fearful
lunges & barks
outgoing and friendly
O.K. if not touched
Growls/aggressive
readily accepts petting
my dog is never exposed to strangers

How many hours a day are you typically away from home?

What other pets reside in your home (please include gender & breed)?

EXACTLY where do you keep the dog when you are not home? (Please be specific, i.e., loose outside, outside in a kennel, indoors free, indoors in a crate, in the laundry room, etc.:

Is this an indoor or an outside dog?:    Indoors     Outside    Unanswered

EXACTLY where does your dog sleep at night?:

Is your dog reliably housebroken?:    Yes     No    Unanswered

Is your dog crate trained?:     Yes     No    Unanswered

Is your dog destructive?:    Yes     No    Unanswered

Has your dog ever been left loose in the house while no one was home?:    Yes     No    Unanswered

Does your dog panic when left alone (i.e., barking, pawing at blinds or under doorways, scratching on doors, escaping, vocalizing and otherwise manifesting [separation] anxiety)?:    Yes     No     Sometimes    Unanswered

Has your dog had ANY formal (obedience) training/classes?:    Yes     No    Unanswered

If yes, where, when and with whom?:

Is your dog well socialized (i.e., FREQUENTLY taken OFF its home property and exposed to strangers, strange dogs, strange things and public places?:    Yes     No

Do you walk this dog often?:    Yes     No    Unanswered

If yes, how often and for how long?:

If yes, do you usually walk to the same place most, if not all, of the time?:     Yes     No    Unanswered

Does your dog walk well on a leash or does he/she pull?:    Yes     No, pulls   Unanswered

Does your dog ride well in a car?   Yes     No    Unanswered

If no, please explain (i.e., gets car sick, jumps in the front seat, etc.):

Has your dog been exposed to the following? (Please check) How does your dog get along with each? If your dog has had exposure, please elaborate on how he/she behaves with each:

Kids    

Toddlers (4 and under)    

Cats    

Small Dogs    

Unfamiliar Dogs    

If you had to use TWO of the following words ONLY, how would you describe your dog?

Submissive
Aggressive
Fearful
Confident
Skittish/Shy
Nervous/Neurotic
Hyperactive
Overly Protective
Dominant

Does your dog bolt, jump or escape often?:    Yes     No    Unanswered

Does your dog have any health issues, including allergies?:    Yes     No    Unanswered

If yes, please elaborate:

Is your dog on any medication?:    Yes     No    Unanswered

If yes, please elaborate:

Does your dog have hip dysplasia or arthritis?:    Yes     No    Unanswered

Does your dog have any behavioral issues?:    Yes     No    Unanswered

If yes, please elaborate:

Has your dog ever bitten anyone?:    Yes     No    Unanswered

Has your dog ever attacked another dog?:     Yes     No    Unanswered

Does your dog know how to swim?:    Yes     No     Unknown    Unanswered

Do you have any other pets (i.e., ferrets, reptiles, horses, livestock, etc.)?:    Yes     No    Unanswered

If yes, please state what other pets and how your dog gets along with them:

Does your dog show a preference for either men or women?:     Yes, Men     Yes, Women     No    Unanswered

Are you considering surrendering your dog? 

Have you recently had any significant changes in your household such as moving, new pet, new people divorce, change in schedule, new baby?:     Yes     No    Unanswered

If so, what changes have occurred?

When and where do you feed your dog?

Do you feel you have enough time to interact with your dog?:     Yes     No    Unanswered

Do you feel that your dog has sufficient physical exercise and mental stimulation?:     Yes     No    Unanswered

Is there a family member that does not want the dog around?:    Yes     No    Unanswered

Are you willing to consider training and/or attend an obedience class?:    Yes     No    Unanswered

Are you working with any other agencies or rescue groups?:    Yes     No    Unanswered

What is the date (month and year) of your dog's last vet visit and the reason for the visit?:

If you have access to a digital camera, it would be very helpful if you could Email Steff at SWGSDRESCUE@AOL.com several photos (taken outdoors during the day) of your dog. We would prefer a face (front) shot, a standing (side) shot and a sitting (front) shot if possible. JPEG attachments are best.

I UNDERSTAND THAT I MUST FOLLOW THE SUBMISSION OF THIS FORM WITH A PHONE CALL. Please type "YES" in the space if you understand:

WHEN YOU HAVE COMPLETED THIS FORM, HIT "SUBMIT". YOUR ANSWERS WILL APPEAR..CHECK TO SEE IF YOU LEFT ANY QUESTIONS UNANSWERED.

WAIT 8 HOURS THEN CALL US BETWEEN 10AM and 8PM: 602-866-2880 ..Please don't wait for us to call you;

We receive 75 to 100 requests for call backs per week. Regrettably it is not possible to call everyone in a timely fashion thus we ask that you please follow the submission of your form with a phone call...THANKS!

IF WE ARE OUT OF THE OFFICE, PLEASE LEAVE A VOICE MAIL & THE BEST TIME TO RETURN YOUR CALL. WE REGRET THAT WE ARE NOT ABLE TO PROVIDE LENGTHY TRAINING INFO VIA EMAILS. Thank You