GUEST INFORMATION SHEET
German Shepherd Search Dogs
(Please print or type)
Name:________________________________________________
Date of
Birth:_____________
Street Address:_________________________________________
City: _________________________________ State:_______
Zip:
________________
Home phone: _______________________
Work phone: _______________________
Cell phone: _______________________ Pager: ______________________
First Aid Training:_____________________
Expiration:
____________________________
Radio experience level:_________________
Ham Call Sign:
____________________
Email:________________________
Things we should know:
1. Do you have a dog you intend to train for search work? Yes No
If yes, what breed or breed cross? _____________________________________
Dog's name: _______________________ Dog's date of birth:____________ Sex:________
Is your dog neutered or spayed? Yes No
County where Licensed:
_______________
Dog's disposition:
_______________________________________________________
_______________________________________________________
_______________________________________________________
Are dog's vaccinations current? Yes No
Who is your current
veterinarian?
_______________________________________________________
Phone number: ___________________ City:____________________________________________
2. Describe your dog's training/titles and your own dog training experience and skills:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
3. Describe your search and rescue experience and skills:
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
4. Describe your outdoor and navigation experience and skills:
____________________________________________________________
____________________________________________________________
____________________________________________________________
5. Describe any other experience or skills which may benefit GSSD:
______________________________________________________________
______________________________________________________________
______________________________________________________________
6. Are you able and willing to meet the GSSD training schedule commitment of two full Saturdays per month in various western Washington locations, plus evening business meetings on the third Friday of each month? Yes No
7. Do you have any health concerns or physical limitations that GSSD should be aware of (i.e. bee sting allergies, other allergies or medications, etc.)?
________________________________________________________________
________________________________________________________________
________________________________________________________________
8. Please list any other Search and Rescue or dog-related clubs or organizations in which you're active:
________________________________________________________________
________________________________________________________________
9. Where did you hear about GSSD?
______________________________
________________________________________________________________
10. What are your goals and reasons for participating in GSSD activities?
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Signature: ________________________________________
Date:
___________________
What you should know:
Anyone is welcome to come to a workout but no one -- guests or members -- will be allowed in the field if not properly equipped for the weather and terrain. Ask around to borrow equipment or where to find good bargains. See the Required Equipment for Workouts sheet for a list of what you'll need. Your new member contact person can answer any equipment questions you might have.
Return this form to GSSD Membership