Application for Prospective Puppy Buyer Name First Name: Last Name: Address Street: Town: State/Province: Zip/Postal Code: Home Phone: area code: number: Work Phone: area code: number: Cell Phone: area code: number: Email: Other Details Reason for wanting a Puppy:   Male or Female Why?   Color Preference: Red Black   Companion – Show – Obedience – Other Why?   Have you owned Dobermans before? Yes No   Still owns? Yes No If not, how did Doberman die? Current Pets?   Male Female   spayed/neutered Yes No How far will you travel to get your new puppy? Time Frame looking for a new puppy? Family members & ages: How much time will the puppy be alone?   Is your yard fenced? Yes No Height of existing fence? Type of fence? If no fence: will you provide one before your puppy comes home? Yes No         Reference Current or prior Veterinarian: Address: Phone: area code: number: Second Reference: Address: Phone: area code: number:   Please answer the following questions: 1. Is anyone in your home allergic to animals or have Asthma? 2. If you rent, do you have your landlord/landlady’s permission in writing to own a Doberman? Yes No 3. Are you familiar with Breed Specific Legislation (BSL) and how legislators are attempting to make laws prohibiting people from owning large breed dogs? Yes No 4. Where will the dog/puppy be when it is left alone? 5. Some insurance companies may cancel your homeowner’s policy if you own a Doberman. It is your responsibility to check with your agent to ensure it will not adversely affect your policy. Have you checked with your agent? Yes No Are you prepared to get that in writing from your agent Yes No or do you already have that in writing? Yes No 6. I understand that home checks may be made on a random basis prior to or following adoption or that a person asked by the breeder/seller may be sent to your home to check it out and to check to see that what you have stated in this application is true and adequate to the breeder’s/seller’s satisfaction. I am ok with this not ok with this 7. I am financially and physically able to care for this animal. Yes No 8. Has the decision to acquire a Doberman been a family decision? Yes No 9. Are you aware of the diseases and problems in the breed? Yes No 10. Are you committed to taking the puppy to obedience classes and putting at least one working title on your puppy/dog such as a CGN (Canine Good Neighbour) or CGC (Canine Good Citizen)? Yes No Please Note: All prospective puppy buyers must have a home visit by myself or an associate in their area.