Teddy Bear Malinois Application

PUPPY BUYER APPLICATION

Thank you for your interest in a Teddy Bear Malinois puppy. Below, I have attached an in-depth puppy application questionnaire for you to fill out, to further assist my understanding in what you may be interested in purchasing from me. Once your application has been processed, a phone interview will be set up.
Questionnaire:

Your assistance in completing this questionnaire will help us in placing the right puppy in your home. Please knowall puppies are placed into homes where they are going to live in the house and be part of the family. These questions are not meant to be judgmental in any way, so please feel free to be candid in your responses. Thank you for your cooperation and your interest in a Teddy Bear Malinois puppy.
Disclaimer:

All of my companion pet puppies are sold with AKC Limited Registration along with spay/neuter contracts. This means that the dog is eligible to be registered, however, none of the offspring are eligible for registration. In other words, this dog is NOT to be bred. A dog with Limited Registration, as well as a spayed/neutered dog can compete in all AKC events except in the Conformation (Breed) ring.
Date:

Month Day Year
Date
Name:

First Name Last Name
Email:
example@example.com
Phone Number:
Please enter a valid phone number.
Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Occupation:
Spouses' Name & Occupation:
Number of Family Members:
Ages of Children:
1. How did you hear about Teddy Bear Malinois, and why are you choosing us as your breeder?
2. Why have you decided to purchase a Belgian Malinois?
3. Which gender do you prefer?

Male Female Either
4. If your first choice (Male or Female) is not available would you consider taking a puppy of the opposite sex or would you want to wait for another litter?

Yes No
5. What is the most important reason in your purchasing process, of a Belgian Malinois? Please check all that apply:

Family Companion Service Animal Conformation Performance (agility, herding, working sports, nose work, etc) Breeding Therapy Dog Personal Protection
6. Have you completed any AKC, CKC (Canadian), FCI, etc. titles on any of your dogs?

Yes No
7. Would you consider an adult, if available?

Yes No
8. Do you, currently, own other pets?

Yes No
If yes, please describe breed, spayed/neutered, and ages of each:
9. What type of personality are you looking for? Please check all that apply:

Reserved Outgoing Protective Biddable
10. Is your yard completely fenced?

Yes No
11. Where will the Malinois be accommodated during the day?
12. Are you willing to crate train the puppy?

Yes No
13. Will someone be home with the puppy during the day?

Yes No Other
14. If not, are you willing to make arrangements to feed and exercise your puppy? (Pet sitter, neighbor, family member)
15. When this puppy is purchased as a family companion, do you agree to have it spayed (females) after 12 months of age or neutered (males) after 1 year of age and submit a Veterinarian Certificate to the Breeder as proof of surgery for her records?

Yes No
16. Are you willing to take your puppy to ‘Puppy Kindergarten’/ socialization and basic obedience classes to insure that you have a well-mannered, enjoyable companion?

Yes No
17. If yes, who in your home, will do the training?

Myself Other
18. Do you have a veterinarian?

Yes No
Please provide your Veterinarian Clinic’s name, address & contact information:
19. If your family circumstances change (new baby, change of residence or job), what will happen to them puppy?
20. Please provide the names & contact information (number and/or email) of TWO references:
21. Have you ever given a dog away or taken one to a pound or shelter? If so, what were the circumstances?
22. Have you ever owned a Malinois before?

Yes No
If so, what happened to that/those dog(s) and who are their breeders?
23. Do you own your own home/property or rent? If rent, what will happen to the puppy if/when you move?
24. What do you feed your dogs and what would you feed this puppy?
25. Do you live in a house, apartment, condo, cabin, townhouse, boathouse, or motorhome?
26. Please specify your living situation:

I am a homeowner and own my house. I am renting from a landlord. I am living in parents’ and/or grandparents’ home. I am living with a roommate and or roommates. Other
27. Why do you think you would make a great home for my puppy?
28. Are you applying for any litter, in particular, that we have available?

Yes No
If so, which litter?
29. Please add any additional information that you’d like me to know about you.
Please sign here, once you’ve completed your application & are ready to submit it:

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PUPPY BUYER APPLICATION

Questionnaire:

Disclaimer: