Puppy application

Incomplete applications will not be considered.

Name
Date of Birth
E-Mail address
Address 1
Address 2
City
State
Zip Code
Phone Number

How were you refered to us?
Please list your vet's name and phone number
Which puppy are you interested in?
What are your plans for this puppy?	Show (Tails are not show docked)
	Pet
	Obedience/Agility
	Companion
	Breeding
	Other
If you marked "Other" please explain

Have you ever had a Doberman before?	Yes
Have you ever had a Doberman before?	No
If "Yes" please tell us about your dog. If "No" please explain why you'd like one now:
Are there any other animals in the house?	Yes
Are there any other animals in the house?	No
If "Yes" please tell us about them:
If you are unable to keep this puppy, are you willing to give it back to us so that we can find it a good home?	Yes
	No
In the past two years, have there been any cases of Parvo at your home?	Yes
	No

Do you have a fenced yard?	Yes
Do you have a fenced yard?	No
If "Yes" what type of fence do you have?
If "Other" what type do you have?
Do you have any children in your home?	Yes
Do you have any children in your home?	No
If "Yes" what are their ages?
Where will your puppy primarily reside? I.e. Inside, outside, kennel, etc.
Typically, how many hours per day will this puppy be left alone?
What type of residence do you live in?
If "Other" please explain
Do you Rent or own your home?	Rent
	Own

Submission of application does not guarentee a puppy.
All buyers must sign puppy contract before recieving their puppy.