First Name:

Last Name:

Street:

City:

Province/State:

Postal Code/Zip:

Home Phone:

area code: number:

Work Phone:

area code: number:

Cell Phone:

area code: number:

Email:

Which Breed are you interested in?

What Color are you interested in?

What type of puppy are you interested in (Click on all that apply):

Conformation Agility Breeding Family Companion Herding Obedience Protection Search and Rescue Tracking

Looking for Dog or Bitch?

Male/Dog or Female/Bitch or Either

Have you owned either breed before?

Yes No

Still own?

Yes No

If not still owned, what happened to it?

Dobermans & Miniature Pinschers are house pets, not kennel dogs or outside dogs...no commercial breeders/buyers please!

Is someone home during the day to socialize and housebreak the pup?

Are you willing to attend puppy class, or some type of class geared towards positive motivational training?

Yes No

Are you familiar with crate training?

Yes No

If so, what are your thoughts regarding crate training your dog?

If it doesn't turn out for showing in Conformation will you keep it and wait for a replacement or return it for placement?

Yes No

If you are unable to keep your Equinox Dog are you willing to give us first right of refusal?

Do you have a totally fenced backyard?

Yes No   Plan To     NOTE: NO FENCE NO DOG!

Will you keep in touch with me weekly by email for the first 6 months and monthly thereafter?

Yes No

Will you notify me of any change of address, phone and/or email address throughout its lifetime?

Yes No

If sold as non-show, it will go on a CKC Non-Breeding Registration Form and must be spayed or neutered by one year of age...

Do you have children under 8 years of age?

Yes No

Does your spouse want the Doberman as much as you do? (please explain in detail)

Yes No 

Are you financially able to care for the pup in case of a major medical problem?

Yes No

If sold as Show Prospect, do you plan to Hire a Professional Handler if you do not have the talent or the expertise or will you attempt to show your dog yourself?   

Hire a Handler Show my own dog Both

Please list a vet reference & 2 personal references that are not related to you. (include the name, address & telephone number for each referral??

Have you read & are you willing to sign our Sales Contract?

Are you willing to put down a non-refundable Good Faith/Security Deposit in order to be out o the waiting list

Is there anything more you would like to tell us about you and your plans for your new puppy?