Puppy Application and Waiting List
THANK YOU FOR CONSIDERING US!
Full Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Your Occupation
What are your hobbies or things you enjoy doing?
*
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Puppy Gender Preference
*
Male
Female
Either
Dog Energy Level
*
High Energy
Medium Energy
Low Energy
Couch Potatoe
Activities you might participate in
Conformation Shows
Shutzhund/Field Sports
Agility/Obedience
Dock Diving
Herding
Carting
Rally
Breeding
Other
Specific Litter you are interested in?
Specific Studs, Dams, etc
Ideal timeframe for puppy to be added to your home?
Please describe your perfect dog.
*
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Why are you looking at add a puppy to your home?
*
Is this your first dog
*
Yes
No
Is this your first Rottweiler
*
Yes
No
Do you have other dogs or pets? If yes, please list below
*
No
Yes
Other Dogs/Pets? Please list
Are their children in your home? If so, please list ages
*
No
Yes
Ages of Children
What type of Housing do you live in?
*
Apartment
Condo
House
Other
Do you
*
Own House
Rent House
Live with Family
Other
If you rent, does your landlord know and is ok with you purchasing a rottweiler puppy?
Do you have a fenced yard?
*
Yes
No
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Is there any other information you would like us to know about you, your situation or your family?
Do you have any questions for us?
Submit
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