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Puppy Buyer Sheet
Edea
2017-01-04T15:24:38+00:00
Puppy Buyer Application
Puppy Application
If you are interested in one of our puppies:
We want to make sure our puppies go to the best homes, and to do so we ask all interested parties to fill out the following form to be considered. We will contact you regarding your application as soon as possible.
All puppies are microchipped and HU tested.
Please make sure to read our
BRT Puppy Requirements
.
Which puppy are you interested in?
*
Please Choose a Puppy
Green - Boy
Gray - Boy
Older Dog - Katona
Name
*
First
Last
Address
*
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Home Phone
*
Mobile Phone
*
Email
*
Good time to reach you
*
Family Data
Are you...
*
- Select One -
Married
Single
Divorced
Your age
*
Children?
*
- Select One -
Yes
No
Children's ages
*
Do you live in...
*
- Select One -
Urban
Suburban
Rural
Own or Rented Apartment
House - Owned
House - Rented
Other
Other specified
*
Do you have a secured fenced yard?
*
- Select One -
Yes
No
Black Russian Terrier Data
Are you interested in...
*
- Select One -
Puppy
Older Trained Dog
Gender interested in...
*
- Select -
Male
Female
No Preference
Why are you interested in obtaining one of Queens Over's BRTS?
*
- Select One -
Pet/Companion
Show
Breeding
Drafting
Competitive Obedience
Protection (please specify)
Other (please specify)
Protection Specified
*
Other Specified
*
What qualities do you like in the BRT breed?
*
What don't you want to find in a BRT?
*
Is this your first BRT?
*
- Select -
Yes
No
Previously owned dogs
*
Animals living at your home
*
Briefly explain why you have chosen this time to bring a new dog into the family & how all family members feel about it
*
Are you committed to caring for this dog for its life time?
*
- Select One -
Yes
No
Who will be the primary care giver for the puppy?
*
What percentage will your dog be in the following? House / Yard / Other
*
Have you ever housetrained a puppy before?
*
- Select One -
Yes
No
Have you ever trained a dog before?
*
- Select One -
Yes
No
BRT requires regular grooming, who will be responsible for it?
*
Have you ever had to euthanize a dog?
*
- Select One -
Yes
No
If so, why?
*
Are you willing to spay/neuter this dog?
*
- Select One -
Yes
No
If not, why?
*
If you are considering breeding, do you promise to have this dog X-rayed for Dysplasia, finish it in conformation ring and title it in one of the working modalities as well as consult the breeder prior to breeding?
*
- Select One -
Yes
No
Do you have any special concerns about BRTs?
*
- Select One -
Yes
No
If yes, explain
When and where did you learn about the BRT?
*
How did you hear about us?
*
Are you willing to keep us informed of your puppy's progress with regular updates and photos?
*
- Select One -
Yes
No
Signature (please type your name)
*
Date
*
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