ADDRESS:
Address 1:
Address 2:
City:
State:
Zip:
Phone (Home):
Phone (Work)
Phone (Cell):
Phone (Fax)
Good time to call if we need to reach you:
How were you referred to me?:
Are you interested in:
Puppy
Older/Trained dog
Information only
Male
Female
Doesn't Matter
Doesn't Matter
Other Upcoming Litter
Structure/Size preference:
Large
Standard
Small
Doesn't Matter
What activities will you and your dog be involved in?(Check all
that apply)
Companion/Pet
Show/Breeding
Obedience Ring
Schutzhund/Working
Why are you interested in obtaining one
of our dogs?
What qualities do you expect in this breed?
What qualities don't you want in this breed?
Is this your first time with this breed?
Yes
No
Why do you want to own this breed?
Previously owned dogs:
Animals currently at home with you:
Have you examined our Sales Policy and Contracts?
Yes
No
Are you committed to caring for this dog for its lifetime?
Yes
No
Are you willing to spay/neuter this dog?
Yes
No
If not, please explain why?
All Show/Breeding Prospects must be two years of age and have an OFA number
before breeding is allowed. Are you willing to do prelim x-rays at 12 months
and official OFA x-ray at 24 months?
Yes
No
FAMILY DATA
Your age:
Number of Children in the household:
Ages of these children:
Others in household who will have contact with dog:
Who will be responsible for this puppy?
Where will dog stay during the day?
Where will dog stay during the night?
Do you live in:
Urban
Suburban
Rural
Do you own or rent?
Own
Rent
Is it a home or apartment?
Home
Apartment
Do you have a fenced in yard?
Yes
No
Have you read information about puppy/dog care?
Yes
No
Do you have all the equipment and a proper crate for this puppy?
Yes
No
Have you checked into any breed/training clubs in your area?
Yes
No
Additional information that may help us make our decision:
| Von
Der BoDeb Kennels reserves the right to turn down any home
not deemed suitable for our puppies. We would like to thank you for
taking a moment to fill out this questionnaire.
Thanks,
Bob Davis
Von Der BoDeb Kennels
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