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1. Name: 2. Address:
3. Email Address:
4. PhoneNumber: Home Work
5. Do you own your home:
6. Marital Status
7. Does your spouse/significant other share your desire for a puppy
8. Occupation: Spouses Occupation:
9. Do you have Children, (if so how many & ages):
10. How did you hear about Edenwood Dobermans:
11. Why have you chosen a Doberman:
12. Have you familiarized yourself with the breed: (size, grooming, feeding, medical care, exercise needs,etc):
13. Have you ever owned a Doberman:
14, Do you currently own any other dogs:
15. If Yes : Spay/Neuter Status:
Age Breed
16. Have you ever removed a dog from your care due to: (Temperament Problems, Personal Changes in your Life,Allergies etc)
17. Veterinarian's Name:
18. Can your Vet be contacted for references: Phone Number:
19. Who will care for your puppy during working hours: 20. Who will be the primary caretaker of your new puppy:
21. What sex puppy are you looking for: Male: Female:
22. Do you have a color Preference: Red & Tan: Black & Tan
23. Do you have a securely fenced yard:
24. Please tell us your plans for exercising and housing, your new Doberman:
25. What are your main goals for wanting a Doberman: Companion:
Show/Obedience/Agility/Field work:
Breeding:
26. Do you agree to have your Doberman spayed/neutered:
27. Are you willing to take your puppy to Obedience/Socializing Classes:
28. Are you in favor of crate training:
29. Will you be willing to keep in contact with us regarding the puppy: (ie: photos, emails, phone calls etc):
30. Please supply us with 2 names for reference purposes: Name:
Phone:
Name:
Phone:
31. If you have any other information that you feel would help us in choosing you to become a Parent to one of our Doberman s, please feel free to tell us here:
Thank you for taking the time to fill out the above questionnaire. Once the application has been received we will contact you to set up an appointment for an interview !
If you have any questions please feel free to contact us !
We look forward to meeting you and thank you for taking an interest in Edenwood Dobermans.