Puppy Application

Puppy Application and Questionnaire

This application is required to reserve a Liberty puppy. The following questions are being asked to assist in selecting the right breeder and puppy for your family's overall needs, goals and lifestyle. Incomplete or vague applications will not be considered. We reserve the right to deny those we feel may not be the right fit for one of our puppies. Thank you for your cooperation. We look forward to connecting and learning more about you and your family.
Name *
please list all potential applicants
Age *

Under 21 21-35 36-50 51-65 Over 65
Address *
Email *
Phone *

area code phone number
Military Status *

Active Guard / Reserve Veteran None
Housing *

House Apartment Condo / Townhouse
Do you own or rent? *

Own Rent
How many individuals live in the household? *
Do you have any children? *
if yes, please list their ages
Do you have a private yard? Is it fenced? *
please be detailed in your response
Does your neighborhood have an HOA? *

Yes No
Do you own any other animals? What are their personalities like? *
please be detailed in your response
Are your other animals spayed or neutered? *

Yes No
Veterinarian Information *
please list names and contact information
How did you hear about Liberty Am Staffs? *

Web Search Friend / Referral Facebook / IG Good Dog
What made you choose our particular kennel? *
What made you decide on an American Staffordshire Terrier? *
please be detailed in your response
Main Reason for Puppy Inquiry *

Pet / Companion Show / Breeding Sports / Performance Therapy / Service
When were you hoping to bring a new puppy home? *

Now 6 Months 9-12 Months 1-2 Years
Preferred Gender *

Male Female Either / First Available
Preferred Color *

Red / Fawn Brindle Black Blue / Blue Fawn Doesn't Matter
Would you prefer your pup's ears cropped? *

Yes No Not Sure
Preferred Puppy Pickup *

Personal Ground Pickup From Breeder Flight Nanny International Shipping
Where will the dog live and be kept during the day, at night and while you are away? *
please be detailed in your response
What's your work schedule like? How many hours on average will the dog be left alone? *
please be detailed in your response
Please share as many helpful details about your family and overall lifestyle as you can... *
this information helps us match your family with the right puppy
Do you plan to continue crate training? *

Yes No Not Sure
Will you be attending any training classes with your dog? *

Yes No
What activity level are you expecting in an Am Staff? *

High Moderate Low
Do you have any prior experience with this breed? *
please list any experience with this or similar breeds
Have you ever competed in sports or obtained a dog's AKC Championship? *
please list any previous experience
Have you ever bred or raised a litter of puppies? *
please list any previous experience
Are you interested in becoming a Guardian home? *

Yes No I'd Like More Info
Have you fully familiarized yourself with this breed's care and exercise requirements? *

Yes No
Do you understand the difference between full and limited AKC registration? *

Yes No
We breed on a limited basis. Are you prepared to wait for the right puppy? *

Yes No
Do all family members and guardians agree on the addition of an Am Staff? *

Yes No
Are you prepared to handle potential breed traits such as prey drive and dog selectiveness? *

Yes No
Have you ever re-homed or returned an animal purchased from a breeder? *
if yes, please explain the circumstances
Have you ever surrendered an animal to a shelter or foster? *
if yes, please explain the circumstances
Are you prepared and financially able to care for a dog over the next 10-15 years? *

Yes No
Are you familiar with (BSL) Breed Specific Legislation? *

Yes No Somewhat
Please list three references. *
please include relation and contact info
All parties acknowledge our dogs are never to be sold or used for illegal purposes. *

Yes No
All parties have answered these questions completely and truthfully. *

Yes No
Signatures of Applicants *

all owners must sign their name above Clear
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Puppy Application and Questionnaire