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Please complete the following information and click the submit button ONCE. |
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Spouse's name - first and last (Required) |
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Your name - first and last (Required) |
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Your street address (Required) |
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Your city, state and zip code (Required) |
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Your phone number (Required) |
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Your email address (Required) |
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How did you find us. Please be as specific as possible. |
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Have you contacted other Rottweiler breeders? |
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If yes, please list them: |
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Why have you chosen a Rottweiler? |
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Are you prepared to care for this puppy for 10 or more years? |
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All of our puppies are sold on a co-ownership until certain contractual requirements are met. |
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Do you have a problem with this? |
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If yes, please explain why: |
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Are there children in the household? |
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If yes, please list their ages: |
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Have you owned dogs before? |
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What sex do you prefer? |
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If yes, please give details below: |
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Age of dog when added to your home |
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Male or Female |
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Do you still have this dog? |
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Age of dog now |
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Dog's name |
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Breed of dog |
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If you chose "No" for any dog listed above, please explain: |
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What are you goals for this puppy? |
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Family Pet |
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Conformation |
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Tracking |
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Schutzhund |
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Service/Assistance dog |
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Breeding |
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Agility |
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Obedience |
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Guard Dog |
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Therapy dog visits |
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Rent or own? |
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Plan to move in the next year? |
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Do you have a fenced yard? |
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Is someone home during the day? |
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How long will the puppy be left alone? |
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Who will provide the majority of the puppies care? Feeding, walking, potty duty, training, etc. |
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Where will the puppy spend it's day? |
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Nights? |
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Do you currently have a vet? |
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Do you currently have a trainer? |
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Have you read our puppy contract? |
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Do you have any questions for us? |
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Comments: |
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