Address and home phone
What is your living situation (own home, condo/townhouse, etc?)
Do you have finances to provide proper vet care to your dog ($200.00 to $600.00 per year) per pet?
Please provide the ages of all children who live in your home or who are frequent visitors (babysitting, grandchildren, etc.)
How many hours a day will the dog be left alone. two to four
four to six
six to eight
Where will your puppy stay when you leave the house?
Do you have access to a fenced area for your dog? Yes
No
Other/explanation
Explain
What other animals live in your home? Dog
Cat
Bird
Other/Explain
Other/Explain
If you have other dogs, please list their breed.
Please give previous dog owning, training experience by household members.
Please give preferences in color. Black and red
Red
Please give your preferences in the gender of dog you are interested in. Male
Female
Do you understand and agree that AKC registration papers will be withheld on all pets until documentation of spay/neuter is received by the breeder? Yes
No
Do you understand that house breaking, and training can take several months of consistent effort and are you willing and able to devote the time required? Yes
No
Do you agree to return/surrender the dog back to the breeder if for ANY REASON, you cannot keep the dog? Yes
No
Are you willing and able to take your dog to obedience school or employ a dog trainer, to develop a good adult canine citizen? Yes
No
Do you agree to examine this dog at age two for eyes via a CERF exam and OFA hip exam via qualified vets and results made public? (results listed by OFA and CERF) Yes
No
Would you be interested in an older puppy (over six months) or retired show adult. Yes
No
Maybe
Please list two references with contact information.
Name:
Email Address:

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