Your Contact Information
Street Address Line 2
State / Province
Postal / Zip Code
Antigua and Barbuda
Bosnia and Herzegovina
Central African Republic
Cocos (Keeling) Islands
Democratic Republic of the Congo
Turkish Republic of Northern Cyprus
Papua New Guinea
Republic of the Congo
Saint Kitts and Nevis
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Sao Tome and Principe
Trinidad and Tobago
Tristan da Cunha
Turks and Caicos Islands
United Arab Emirates
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Are you willing to consider a puppy that does not match your stated preferences above?
Yes, I'd love a Beauceron no matter what
Maybe. I'll think about it, but can't commit now.
No, we need to stick to our 1st/2nd preferences
About Puppy's New Family
What are you looking for in a new puppy?
Is this your first dog?
First time as an adult
Is this your first time raising a puppy?
No, but it's been a while!
Do you have other pets in the home?
Please list species breed and age of other pets:
Do you already have a veterinarian?
I need a recommendation
If yes, who?
What do you plan on doing with your dog? Checking a box with ** means you plan on TITLING/COMPETING within that venue.
Haven't decided yet
Fly Ball, Etc. **
Mondio, Etc. **
Future Breeding Candidate
Please tell us a little about where puppy will live as a puppy (we know circumstances change).
Type of housing
Single Family Residence
Own this home
Rent this home
Other: Staying with family
If other, please explain:
Does your landlord allow pets?
I'm sure we can work something out
Do you have a fenced yard or secure kennel?
Not yet, but we're getting one
No, but we have a dog play area
Is any head of household currently serving our country in the US Military?
How many adults in your home?
3 or more
How many minor children in your home?
3 or more
How many children are under the age of two (2) years old?
3 or more
Are all adults in the home in agreement to purchase a puppy?
Does anyone in the home have allergies to dogs?
Where will the puppy spend most of its time?
How will the puppy be trained?
We will probably train the pup ourselves
Are you willing to crate train your puppy?
Not sure yet
I need more information on this
Will your puppy be an inside or outside dog?
How many hours will the puppy left alone (without a potty break) each day?
Less than 4
4 to 9 hours
9 to 12 hours
More than 12 hours
Is this puppy being purchased as a surprise or gift for anyone?
Have you or any one in the puppy’s future household ever been arrested, charged or convicted for animal cruelty or animal hoarding?
Yes, but it was a minor conviction and progress has been made
I check records for each adult in your household.
This litter will be available to go home on a specified date. Will you be able to take this puppy home on or within 2-3 days of this date?
No, please contact me so we can make other arrangements
Will you be able to pick up your puppy in person in Floyd Knobs, Indiana or Sanders, Kentucky?
Are you planning on needing to arrange ground or air transport for your puppy?
Do you agree to give us follow-up reports and photos from time to time?
Do you agree to contact us in the case that you need to re-home this puppy for whatever reason?
Do you understand that puppies sold as companions only are placed on AKC Limited Registration? This means that the dog is eligible to be registered, however, none of the offspring are eligible for registration. A dog with Limited Registration, as well as a spayed/neutered dog can compete in all AKC events except in the Conformation (Breed) ring.
Are you willing to take your puppy to a basic obedience classes or if able, train at home to insure that you have a well-mannered, enjoyable companion and ideally complete the AKC CGC evaluation and submit the form to AKC for recording? This is usually an additional $25 fee due and payable to AKC at the time the form is submitted.
When this puppy is purchased exclusively as a family companion, do you agree to have it spayed (females) after 18 months of age or no sooner than the first heat cycle or neutered (males) no earlier than 24 months of age and submit a Veterinarian Certificate to the Breeder as proof of surgery for their records?
If you wish to purchase a puppy with no disqualifying faults with AKC Full Registration, are you willing to allow breeder to remain on the registration as “coowner” until the puppy receives a passing eye exam and passing hip x-ray? (X-ray must be published on OFA‘s website showing no evidence of hip dysplasia.) Puppy may have an eye exam anytime after 8 weeks of age (should be repeated yearly for breeding dogs) and the hip x-ray can be done with Pennhip after 5 months of age or OFA after 24 months of age
Do you understand the price of the puppy is $2500 and includes AKC registration, microchip, all age appropriate vaccinations/deworming, DNA Profile, ear crop (unless agreed to leave natural) before leaving breeder’s possession and health certificate for domestic travel. There is no price difference for Limited or Full Registration and the price of airline shipping is at the expense of the puppy buyer. Personal pickup is welcome and hand delivery may be available to be arranged at buyer’s expense.
Please provide any other relevant information you feel would assist us in placing a puppy in your home:
Do you have any other questions for us you’d like us to note?
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