Birdwing Beaucerons

BIRDWING BEAUCERONS

Puppy Questionnaire

Your Contact Information
First Name *
Last Name *
E-mail *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number *

Area Code Phone Number
Cell Phone *

Area Code Phone Number

Puppy Preference
Color Preference *
Gender Preference *
Do you prefer cropped ears or natural? *
Are you willing to consider a puppy that does not match your stated preferences above? *
The Seller retains the right to use any male puppy sold on full registration or converted later to full registration on any female owned, co-owned or leased by the Seller with the understanding that no stud fee will be paid to the Buyer by the seller. This includes but is not limited to semen collection, semen storage and/or live cover that will be arranged, owned exclusively by the Seller and at the sole expense of the Seller. *
When are you hoping to bring a new puppy home? *

About Puppy's New Family
What are you looking for in a new puppy? *
Is this your first dog? *
Is this your first time raising a puppy? *
Do you have other pets in the home? *
Please list species breed and age of other pets:
Do you already have a veterinarian?
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. *

	Yes	No	Haven't decided yet
Conformation **
Rally/ Obedience **
Performance: Agility, Dock Diving, Fly Ball, Etc. **
Sport: IGP, French Ring, Mondio, Etc. **
Herding **
Family Pet/ Companion
Future Breeding Candidate

Please tell us a little about where puppy will live as a puppy (we know circumstances change).
Type of housing *
Do you: *
If other, please explain:
Does your landlord allow pets?
Do you have a fenced yard or secure kennel? *
Is any head of household currently serving our country in the US Military? *
How many adults in your home? *
How many minor children in your home? *
How many children are under the age of two (2) years old?
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? *
Are you willing to crate train your puppy? *
Will your puppy be an inside or outside dog? *
How many hours will the puppy left alone (without a potty break) each day? *
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? *
I check records for each adult in your household.

Ownership Commitment
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? *
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 ($350 additional unless agreed to leave natural) before leaving breeder’s possession and health certificate for domestic travel. The puppy must be paid in full prior to the ear crop appointment or it will not be cropped. 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?
Your Signature *

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BIRDWING BEAUCERONS