Puppy Application Form for MJMB&D Kennels
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What puppy are you interested in? *
*
Male
Female
Either
What breed are you looking for?
Great Dane
Giant Schnauzer
Chow Chow
Are you looking for a specific color?
HARL
Mantle
Pie
Merle
Fawn
Black
Black & Silver(Giant Schnauzer)
Salt & Pepper (Giant Schnauzer)
Black (Giant Schnauzer)
Blue
Other
Are you looking to breed or just for a pet?
*
Breed
Pet
Do you already have a veterinarian and if asked, could you provide a vet reference?
Yes
No
Did you see a name of a puppy online you liked?
blanks
.
Are you willing to give me, the breeder, biannual updates on the dog?
Yes
No
Are you willing to purchase this dog on a notarized return contract, one that requires that if for at any time in the dog's life you can no longer provide an appropriate home for, must be surrendered to me (the breeder) with the possibility of no monetary reimbursement? And at your expense?
*
Yes
No
Type a question
Have you owned this breed before? If not, have you adequately researched this breed? *
Yes
No
Are you prepared for the expense of this breed as far as food or vet costs?
Yes
No
If anything should happen and you cannot afford the expense of daily care or a vet bill you agree to not let the dog suffer and contact Melonie to help and decide the best outcome for puppy? (This may seem like a odd question but this is being asked due to prior experience)
*
Yes
No
Do you own your home? If not do you have the permission from your landlord to have this breed?
Yes
No
Have you talked to your spouse or family about a puppy yet to ensure you can move forward?
*
Yes
No
Do you understand that deposits of $750 and money paid towards a puppy is nonrefundable unless we are at fault while dog is in our care?
*
Yes
No
Have you checked with you insurance to ensure they do not have a breed restriction?
Yes
No
Do you have children?
Yes
No
Do you understand that Danes/Schnauzers can mature to around 90-200LBS and they are a large breed? Are you prepared for a dog this size?
Yes
No
Who is your vet and how long have you been using them? We will need to call and confirm.
For dogs being rehomed or returned to us. Do you understand that this is not a rescue or a dog in need of rescue?
*
Yes
No
Full registration means you have purchased breeding rights from us and you have the right to breed/ reg the puppies with AKC. Do you understand?
*
Do you understand that limited registration means you CANNOT breed this dog and is for PET ONLY? You will be required via contract to fix this dog at a CORRECT age for the breed and not before 12 months old?
*
Date
*
-
Month
-
Day
Year
Date
Signature
Submit
Should be Empty: