Number of children living in your household:
Ages:
7.
What type of area do you live in?
City
Suburban
Country
8.
What type of housing: Apt.
Condo
Duplex
House
Other
(please explain, how long you have lived here, etc.)
9.
If you rent or lease, do you have permission from your
landlord to own a Rottweiler?
Yes
No
(Name and Phone number of your landlord)
If less than two years, please list your previous
address:
10.
What breed of dogs have you previously owned and what
happened to them?
Were they spayed/neutered? Yes
No
(both as appropriate)
11.
Is everyone in your household in agreement on purchasing
a Rottweiler?
Yes
No
12.
Other pets in the household -- breed, age,
spayed/neutered, up to date in vaccinations:
13.
What do you know about the Rottweiler as a breed?
14.
Why do you want a Rottweiler, please be specific, this
will determine which puppy you get?
15.
How did you hear about us, and/or who referred you to
us?
16.
What other individuals have you applied with?
17.
Do you have a preference as to what sex the Rottweiler
is?
Yes
No
If "yes," why?
18.
Do you have a fenced yard?
Yes
No
Specifically, what kind of fence and how tall:
If Not fenced, where will this Rottweiler be exercised
and allowed to eliminate?
19.
What member of the family will be taking the MAJOR
responsibility for raising and taking care of this
Rottweiler?
20.
What are your plans for this Rottweiler, please be
specific?
21.
Will you take your Rottweiler to an obedience class?
Yes
No
(If you are not willing to take the Rottweiler to
obedience class please explain
why)
22.
Do you have a homeowners or renters insurance policy? If
so, does it allowed you to own a Rottweiler?
Yes
No
Name of Homeowners or Renters Insurance Policy Carrier
23.
Do you have a city or county ordinance that limits the
number of dogs you are allowed to have in your home?
Yes
No
If yes how many?
24.
Will the Rottweiler live inside the home?
Yes
No
If no, where?
25.
Where EXACTLY will the Rottweiler sleep at night and
where will he/she be kept when there is no one at home?
26.
Have you ever used a crate before?
Yes
No
Do you have an objection to using a crate? Yes
No
If yes, why?
27.
What are the major sports, activities, hobbies, or
exercises you and your family participate in most?
28.
Please list your veterinarian's name/address/phone
number.
Call your vet and advise them that I may be checking on
the health care of your previous/current pets.
29.
What is your estimate of cost for a dog during a year?
(ex., vet expense, food, toys, training, etc.)
30.
Please list names and phone numbers of three personal
references that have known you for at least two years:
31.
Are you currently or previously involved with any dog
clubs, Humane Societies, etc.? Yes
No
If "yes," what club?
32.
How long do you plan to keep this Rottweiler?
33.
What kind of food ( Brand Name) do you feed or plan to
feed? Would you have a problem with feeding what we
recommend?Yes
No
34.
Who have you purchased/adopted a Rottweiler in the past?
List all:
35.
Do you realize that purchasing a Rottweiler requires
ongoing training and socialization and will require a
lot of time to train and socialize this puppy?
Yes
No
36.
Are you willing to work with us in helping you pick the
perfect puppy for you? Yes
No
37.
You as the Buyer also understand that there is an
contract and have read the contract and understand it
fully?Yes
No
38.
Any additional comments you may have:
39.
I certify that the information provided on this form
is true & correct. I am also financially and physically
able to care for this animal. I understand that proper
food and veterinarian care can be costly and I am able
to meet these requirements.
