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
Please Select
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Country
Phone Number
*
-
Area Code
Phone Number
Cell Phone
*
-
Area Code
Phone Number
Puppy Preference
Color Preference
*
Any color
Black/Rust
Harlequin
Gender Preference
*
Male
Female
Either Gender
Do you prefer cropped ears ($350 additional) or natural?
*
Cropped
Natural
Undecided
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
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.
*
Yes
No
When are you hoping to bring a new puppy home?
*
Now
Soon
A year or more away
About Puppy's New Family
What are you looking for in a new puppy?
*
Is this your first dog?
*
Yes
No
First time as an adult
Is this your first time raising a puppy?
*
Yes
No
No, but it's been a while!
Do you have other pets in the home?
*
Yes
No
Please list species breed and age of other pets:
Do you already have a veterinarian?
Yes
No
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.
*
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
*
Apartment
Condo
Single Family Residence
Other
Do you:
*
Own this home
Rent this home
Rent-to-Own
Other: Staying with family
If other, please explain:
Does your landlord allow pets?
Yes
No
Not sure
I'm sure we can work something out
Do you have a fenced yard or secure kennel?
*
Yes
No
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?
*
Yes
No
How many adults in your home?
*
1
2
3 or more
How many minor children in your home?
*
0
1
2
3 or more
How many children are under the age of two (2) years old?
All
None
1
2
3 or more
Are all adults in the home in agreement to purchase a puppy?
*
Yes
No
Does anyone in the home have allergies to dogs?
*
Yes
No
Where will the puppy spend most of its time?
*
How will the puppy be trained?
*
We will probably train the pup ourselves
Puppy classes
Professional trainer
Are you willing to crate train your puppy?
*
Yes
No
Not sure yet
I need more information on this
Will your puppy be an inside or outside dog?
*
Mostly indoors
Mostly outdoors
Both
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?
*
No
Yes
Have you or any one in the puppy’s future household ever been arrested, charged or convicted for animal cruelty or animal hoarding?
*
No
Yes, but it was a minor conviction and progress has been made
Yes
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?
*
Yes
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?
*
Yes
No
Maybe
Are you planning on needing to arrange ground or air transport for your puppy?
*
Yes
No
Maybe
Do you agree to give us follow-up reports and photos from time to time?
*
Yes
No
Do you agree to contact us in the case that you need to re-home this puppy for whatever reason?
*
Yes
No
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.
*
Yes
No
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.
*
Yes
No
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?
*
Yes
No
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
*
Yes
No
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.
*
Yes
No
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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