Application & Questionnaire
This application is required to reserve one of our Am Staffs. The following questions assist us in helping select the right dog for your overall needs, goals and lifestyle. Incomplete or vague applications will not be considered. We reserve the right to deny individuals we feel may not be the proper fit for one of our puppies at this time. Thank you for your cooperation and understanding. We look forward to connecting with you and learning more about your family's puppy goals.
Name
*
list all applicants and potential owners
Email
*
Phone
*
-
area code
phone number
Age
*
legal guardian required if under 18
Address
*
Military
*
Not Military
Active
Guard / Reserve
Veteran
Housing
*
House
Apartment
Condo / Townhouse
Other
Do you own or rent?
*
Own
Rent
Other
Does your neighborhood have a HOA?
*
Yes
No
Other
Do you live in a flood zone?
*
Yes
No
Other
Do you have a private fenced yard? What type of material and how tall is it?
*
if no, how will you be exercising the dog
List all members of the household, including their ages.
please list name, relation and age
Do you own any other animals? If so, share some details about each.
*
please list pet type, breed, sex, age and personality traits
Are your other animals spayed or neutered?
*
if not, please explain
Current Veterinarian Information
*
please list name, location and contact information
What made you choose this particular breed?
*
Main Reason for Puppy Inquiry
*
Pet / Companion
Show / Breeding
Sports / Performance
Therapy / Service
How soon are you wanting to bring home a puppy?
*
Now
6 Months
12 Months
1-2 Years
Preferred Gender
*
Male
Female
Either / First Available
Preferred Color
*
Red / Fawn
Brindle
Black
Blue / Blue Fawn
Any / Not Picky
Do you want to crop your pup's ears?
*
Yes
No
Not Sure
Preferred Transport
*
Personal Delivery
Pickup From Breeder
Flight Nanny
International Shipping
Other
Where will the dog live and be kept during the day, at night and while you are away?
*
please be detailed in your response
Do you work? How many hours on average will the dog be left alone?
*
please share occupation and a typical work schedule
Please share any other helpful details about your family and overall lifestyle...
*
this information helps us match your family with the right puppy
Do you plan to continue crate training?
*
Yes
No
Other
Do you plan to vaccinate your puppy?
*
Yes
No
Other
Do you plan to attend future training or handling classes?
*
Yes
No
Other
What energy level are you expecting in an Am Staff?
*
High
Moderate
Low
Do you have experience with this or a similar breed?
*
please list any prior experience with bully breeds
Have you ever competed in dog sports or obtained a dog's championship?
*
Have you ever bred or raised a litter of puppies?
*
Are you interested in becoming a co-owner or guardian home?
*
Yes
No
I'd Like More Info
Liberty Am Staffs breeds on a limited basis. Are you prepared to wait for the right puppy?
*
Yes
No
Have you ever re-homed or returned an animal purchased from a breeder?
*
if so, please explain the circumstances
Have you ever surrendered an animal to a shelter, rescue or foster?
*
if so, please explain the circumstances
Are all applicants prepared to offer a stable living environment and financial ability to properly care for a dog over the next 10-15 years?
*
Yes
No
Are you familiar with (BSL) Breed Specific Legislation?
*
Yes
No
Somewhat
Are all members of the household prepared to handle potential breed traits such as dog aggression, selectiveness and prey drive?
*
Yes
No
Please list two non-related references.
*
please list relation and best contact information
All applicants understand the difference between full and limited AKC registration.
*
Yes
No
All applicants have familiarized themselves with this breed's care and exercise requirements.
*
Yes
No
All household members agree to the addition of an American Staffordshire Terrier.
*
Yes
No
All applicants acknowledge our dogs are never to be resold or used for illegal purposes.
*
Yes
No
All applicants have answered these questions completely and truthfully.
*
Yes
No
Submit
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