Puppy Questionnaire

By submitting this form, you agree to have the application contents forwarded to other reputable breeder(s) should I not have any puppies available.

Your Name (required)

Your Street Address (required)

Your City (required)

Your State (required)

Your email address (please provide email and/or phone so I can contact you)

Your phone

What is your color preference? (required)
Color unimportantBlackRedBlueFawn

Do you want a male or female?(required)


Have you owned a Doberman before? (required)

Do you have a fenced yard?

Where will the Doberman live?
Have not decided yetIndoors (When I'm home)Outdoors (When I'm home)Indoors (When I'm away)In Kennel (When I'm on vacation)Outdoors (When I'm away)At business

If something should happen and you cannot keep your new puppy/dog, will you be willing to call the breeder or me? And will you be willing to inform us of any change in your phone number or address ?
YesWill try to rememberNo, not necessary

Anything else you'd like to share?