First Name
*
Last Name
*
E-mail
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Phone Number
*
-
Area Code
Phone Number
Cell Phone
*
-
Area Code
Phone Number
1st Color Preference
*
Please Select
Any color
Black/Rust
Red/Rust
1st Gender Preference
*
Please Select
Male
Female
Either Gender
2nd Color Preference
*
Please Select
Any color
Black/Rust
Red/Rust
2nd Gender Preference
*
Please Select
Male
Female
Either Gender
Are you willing to take a puppy that does not match your stated preferences?
*
Please Select
Yes, I'd love a Doberman no matter what
Maybe. I'll think about it, but can't commit now.
No, we need to stick to our 1st/2nd preferences for other reasons
Why are you interested in finding a new puppy?
*
Is this your first dog?
*
Please Select
Yes
No
First time as an adult
Is this your first time raising a puppy?
*
Please Select
Yes
No
No, but it's been a while!
Do you have other pets in the home?
*
Please Select
Yes
No
Please list species breed and age of other pets:
Do you already have a veterinarian?
Please Select
Yes
No
I need a recommendation
If yes, who?
Please tell us a little about where puppy will live as a puppy (we know circumstances change).
Type of housing
*
Please Select
Apartment
Condo
Single Family Residence
Other
Do you:
*
Please Select
Own this home
Rent this home
Rent-to-Own
Other: Staying with family
If other, please explain:
Does your landlord allow pets?
Please Select
Yes
No
Not sure
I'm sure we can work something out
Do you have a fenced yard?
*
Please Select
Yes
No
Not yet, but we're getting one
No, but we have a dog play area
How high is the fence?
Please Select
3'
4'
5'
6'
6+
How many adults in your home?
*
Please Select
1
2
3 or more
How many minor children in your home?
*
Please Select
0
1
2
3 or more
How many children are under the age of two (2) years old?
Please Select
All
None
1
2
3 or more
Are all adults in the home in agreement to purchase a puppy?
*
Please Select
Yes, we can't wait!
We're getting there ;)
No, but I take full responsibility for a puppy in our household
Does anyone in the home have allergies to dogs?
*
Please Select
Yes, but only mild to moderate
No, not that we know
Where will the puppy spend most of its time?
*
How will the puppy be trained?
*
Please Select
We will probably train the pup ourselves
Puppy classes
Professional trainer
Are you willing to crate train your puppy?
*
Please Select
Yes
No
Not sure yet
I need more information on this
Will your puppy be an inside or outside dog?
*
Please Select
Mostly indoors
Mostly outdoors
Both
How many hours will the puppy left alone (without a potty break) each day?
*
Please Select
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?
*
Please Select
No
Yes, and I need your help to pull off the surprise!
Have you or any one in the puppy’s future household ever been arrested, charged or convicted for animal cruelty or animal hoarding?
*
Please Select
No way, José!
Yes, but it was a minor conviction and progress has been made
Yes
I check records for each adult in your household.
This litter will be available to go home on a specified date. Will you be able to take this puppy home on or within the week of this date?
*
Please Select
Yes
No, please contact me so we can make other arrangements
Will you be able to pick up your puppy in person in Colton, CA
*
Please Select
Yes, I live within 100 miles of Colton
Yes, I live within 250 miles of Colton
Yes, I live out of state, but I will arrive to pick up
I require shipping please
Do you agree to give us follow-up reports and photos from time to time? We use these reports for enjoyment and also for future litter evaluation. After all, we are ultimately trying to improve the breed.
*
Please Select
Sure
No
Do you agree to contact us in the case that you need to re-home this puppy for ANY reason? We will never allow any of our pups to end up in a shelter. This is all part of responsible breeding at Obsidian Dobermans.
*
Please Select
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
*
Submit
Submit
Should be Empty: