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)
    MaleFemale

    Interests
    PetShowObedienceAgilityBreedingOther

    Have you owned a Doberman before? (required)
    YesNo

    Do you have a fenced yard?
    YesNo

    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?