Dragomir Dobermans Puppy Application

Dragomir Doberman Puppy Application

First Name:

Last Name:

Street:

Town / City:

State / Province:

Zip / Postal Code:

Primary Phone:

Secondary Phone:

Email Address:

Describe yourself and your lifestyle:

Why do you want a puppy:

What sex?Male
Female Why male or female:

What are your plans with the puppy?
Companion
Show Prospect
Obedience
Rally
Agility
Other

Please explain your plans with the puppy:

Have you ever owned a dog before?Yes
No

Have you ever owned a Doberman(s) before?Yes
No

Still Own your Doberman?Yes
No

If not, how did your Doberman(s) die? Ages?

Do you have any current pets? Yes
No

Please describe all your pets: (Types, Ages, Male / Female)

Are your animales all Spayed / Neutered?Yes
No

If not, why not:

How far will you travel to get your puppy?

What is your timeframe for a new puppy?

List all members of your household, sex, relationship and ages:

How much time will the puppy be alone per day?

Where will the puppy stay while you are away from the home?

Where will the puppy sleep at night?

Do you have a fenced in yard?
Yes
No

If you don't have a fence, will you provide one BEFORE your puppy comes home?Yes
No

NOTE: No Fence, No Puppy, No Exceptions!

Describe your fenced in yard: (Type of fence, height, size of yard):

Current or prior Veterinarian Name:
Street:
Town / City:
State / Province:
Zip / Postal Code:
Phone Number:

Please tell us any additional information you would like about yourself: