Puppy Buyer Questionnaire
This form must be filled out completely and returned to us before you can be considered for one of our litter reservation lists. Once we have reviewed the list, we will contact you and may have a question or two that is not listed here. If at that time we all agree that one of our puppies would be a good fit for you and your family, we would require a deposit before we can officially add you to the reservation list.
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
How were you referred to us?
*
Please list the sire and dam of the litter that you would like to reserve a puppy from:
Are you interested in?Are you interested in?
*
Male
Female
Either
What type of dog are you primarily looking for?
*
Pet
Protection
Show
Schutzhund (IGP)
Obedience
Breeding
How many dogs do you currently own?
*
What sex(es)?
Which breeds?
Have you ever owned a Rottweiler before?
*
Yes
No
If so, which one(s)
Have you ever titled a dog in the sport of schutzhund?
If so, what level(s) did you achieve?
Have you ever shown a dog that has finished its AKC Championship, recieved a sieger or siegerin title, or finished another recognized Championship?
*
Yes
No
If so, which one(s)
Have you ever put a Ztp, Korung, BST, or ABST title on a dog?
*
Yes
No
If so, which one(s)
Have you ever put an obedience title on a dog?
Yes
No
Do you reside in the city, in a rural, or a suburban area?
*
Do you have a fenced in yard?
*
Yes
No
Will your dog ever be left on a chain or cable unattended?
*
Yes
No
Do you have time to walk your dog at least two times daily?
*
Yes
No
Do you have children? If so, how many? What ages?
*
Do you plan to x-ray your dog for hip dysplasia?
*
Yes
No
Have you read and do you fully understand and agree with all of the information found on the following webpage? www.oldworldkennel.com/puppies/
*
Yes
No
If you would like to expand your answers to any of the questions listed above, or would simply like to give us more information that would help us to better know what you are looking for and select the right puppy for you and your family, please do so here:
Date
*
-
Month
-
Day
Year
Date
Signature
*
Submit
Should be Empty: