Puppy Questionnaire

All potential homes and others interested in our puppies MUST complete the form below as a first step to being considered for one of our puppies.   Your name: Email address: 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 Scosher Rottweilers 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. Sincerely, Scott Allen Von Scosher Rottweilers

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