PHYSICAL ADDRESS:
Address 1:
Address 2:
City:
State:
Zip:
Country:
MAILING ADDRESS (if different than physical):
Address 1:
Address 2:
City:
State:
Zip:
Country:
PHONE NUMBERS
Phone (Home): Phone (Work)
Phone (Cell): Phone (Fax)
Good time to call if we need to reach you:
How were you referred to us?:
How did you first learn about this breed? Why would you like to own a dog of this breed?
Sex of dog: Male Female Doesn't Matter
Would you spay or neuter your dog?
Yes
No - please explain your reason(s)
Have not decided yet
Is this your first time with a Rottweiler?
Yes
No
If you own any dogs now, or have owned dogs before, tell us a bit about them. What were they like? How or where did you get them? If they are no longer with you, what happened to them?
Previously owned dogs:
Animals currently at home with you:
Do you plan to obedience train your dog?
Yes
No
Have not decided yet
What activities will you and your dog be involved in?(Check all that apply)
Just a Family Pet
AKC Champion Conformation Showing
German Style Sieger (conformation) Shows
Breeding
AKC Obedience
Schutzhund/Protection
Agility
Tracking
Herding
Therapy
Other (please specify)
Do you have any experience in any of the above activities? If so, please tell us about it
FAMILY DATA
Your age: (optional - you do not need to answer this question about age if you don't want to)
Number of total people in the household:
Number of children in the household:
Ages of these children:
Others in household who will have contact with dog:
Will your dog "belong" to a particular member of your family? If so, who?
Is someone in your household home during the day? If not, where will your dog be kept when you are not at home?
Where will dog stay during the night?
Where will your dog spend most of his time when he is at home?
Do you plan to use a crate?: Yes No Need more info
What hobbies or activities do you or your family enjoy?
Would your dog participate in any of these?
Yes
No
Explain (if needed)
Is there anyone in your home who doesn't like or is allergic to dogs? If so, what arrangements will you plan to make to accommodate this person?
Do you live in:
Urban
Suburban
Rural
Do you own or rent?
Own Rent
Is it a home, condo, or apartment?
Home Condo Apartment
Other?
If you rent, does your lease allow you to have pets? If you have a condo, does your condo association allow you to have a dog this size?
Yes
No
Don't know
Do you have a fenced in yard or other enclosure for a dog?
Yes
No - cannot or do not intend to
No - but will very soon
If not, what arrangements will you make for keeping your dog nearby when he is outdoors?
Is there anything you would like us to know that hasn't been covered in this questionnaire? Do you have any questions you'd like to ask us about this breed or about dogs in general?
Last updated 05/20/2007.
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