Please note: if you are interested in a puppy from us, you must complete this puppy application, any incomplete applications will  not get a response. ~ We reserve the right to refuse any sale for any reason. ~

Puppy Application Thank you for considering one of our puppies to add to your family. We are very selective to whom we sell a dog to.  If you would like to be considered for one of our puppies, please feel free to cut and paste this page to an email, fill out the questionnaire and we will get back to you promptly. Name:___________________________________________________________________________________ Address:_________________________________________________________________________________ Home Phone:______________________________ Work Phone:____________________________________ Best Time to Call:________________ E-Mail ___________________________________________________ Occupation:_______________________________________________________________________________ HOUSING / LANDLORD INFORMATION Do you own or rent your home? _________________________ If you rent, do you have the landlord's permission to keep a dog? _____________ Landlords Permission must be obtained! Do you live in a: __House  ___Apartment ___Townhouse  ___Other:_________________________________ How long have you lived at this address? _______________________________________________________ FENCE / YARD / CRATE INFORMATION Do you have a completely fenced yard suitable for a dog? ___Yes  ___no Do you have a kennel run? ___Yes  ___no Describe fence or kennel run - type, height and size: ______________________________________________ ________________________________________________________________________________________ If no fence or kennel run, how will you handle the terrier's exercise and toilet needs? ________________________________________________________________________________________ Do you have a suitable dog crate? ___Yes  ___no If no, are you willing to purchase one?  ___Yes  ___no HOUSEHOLD INFORMATION How many adults in the house hold? _______  Children? ____________ Age and gender of children: _________________________________________________________________ Are any members of you household allergic to animals?  ___yes  ___no Who in the household will have the main responsibility of caring for this pet? ________________________________________________________________________________________   How many hours a will the dog be alone? ________________________________________________ Please describe your lifestyle:  ____active  ____ passive   ____ in-between OTHER ANIMAL INFORMATION Do you own other dogs?  ___yes  ___no    Spayed / Neutered?  ___yes  ___no Please list breed, size, and gender of each:______________________________________________________ ________________________________________________________________________________________ Do you own cats? ___yes  ___no     If yes, how many? ___________ Any other animals? ____yes  ____no   if yes, please describe:_______________________________________ ________________________________________________________________________________________ How many dogs have you owned in the past five years? _____________ If you do not still own the dog(s), please describe what happened to it (them).  Please be specific. ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Have you ever returned a pet to the breeder?  ___yes  ___no  If so, what were the circumstances? ___________________________________________________________ ________________________________________________________________________________________ Have you ever given a pet away?  ___yes  ___no  If so what were the circumstances? ________________________________________________________________________________________________________________________________________________________________________________ Have you ever taken a pet to the pound or shelter?  ___yes  ___no  If so, what were the circumstances? ________________________________________________________________________________________________________________________________________________________________________________ Have you owned a Rottweiler before?  ___yes  ___no Why did you choose this breed? ______________________________________________________________ ________________________________________________________________________________________ Do you know what the is bred to do? ___yes  ___no    If so what? _______________________________ ________________________________________________________________________________________ What activities do you plan on doing with this dog? ___pet  ___guard  ___hunting ___obedience ____Agility  ___ Trials ___ other: ________________________________________________________________________________ Will you be attending any training classes? _______________________ Do you plan on keeping this dog primarily?  ___indoors  ___outdoors Where will dog sleep?________________________________________ Do you have a regular vet?  ___yes  ____no Name: _____________________________________________________Phone:________________________ Address:_________________________________________________________________________________ PREFERENCES At what age would you like to get the puppy? _____________________ SEX I would like a ___female  ___male  ___no preference Have you considered an older dog instead of a puppy? ___yes ___no ___unsure Do you plan on breeding this dog?  ___yes  ___no  ___not sure If so why?________________________________________________________________________________ ________________________________________________________________________________________ Thank you for investing this time in your search for a new puppy.