If you are interested a Von der Insel German Shepherd, please copy, paste, and fill out our Questionnaire below, email it to us, and we will get back to you. If you do not hear back from us within 48 hours, please resend. Email is not always reliable and we normally reply fairly quickly.

Only questionnaires that are completely filled out will be responded to. 


Please provide the following contact information:

First Name:

Last Name:

Physical Street Address:



Zip Code:

Mailing Address (if different):

Home Phone Number:


Do you prefer us to (Delete options not desired):

If you would like us to call please tell us what time zone you are in and when is the best time to reach you?

How did you hear about our breeding program?

Where is your nearest major international airport?

What is your time frame in adding a new puppy or dog to your family?

You would like to own a puppy/dog with a (Delete options not desired):
*Short Coat
*Long Coat

You are looking for a (Delete options not desired):
*Young Adult

You are interested in a (Delete options not desired):

What are your goals for this puppy/dog (Delete options not desired)?

*Competitive Obedience
*SV Style Conformation
*AKC Style Conformation
*Junior Handling
*Search & Rescue
*Police Work
*Assistance or Therapy Dog

Other goals? Please list

Do you have any other pets in your home currently? If so, please list species, breeds, genders and ages:

Do you plan to add any other pets into your home within the next two years? If so, please list:

What is your experience with German Shepherd Dogs?

What traits do you admire most in the breed?

Please tell us about the secure area in your yard that you have for this puppy/dog:

How much time alone every day will the puppy/dog spend?

Who lives in your home? If you have children, please list ages:

Is everyone in your home excited about adding a German Shepherd to your family? If not please explain any reservations:

Is there any other information you feel is important to help me determine if one of my puppies/dogs would be will suited for your home?

Do you have any other questions, comments, and/or suggestions?