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?*
Name*
First Last
Address*
Street Address City State ZIP Code
Home Phone*
Mobile Phone*
Email*
Good time to reach you*
Family Data
Are you...*
Your age*
Children?*
Children's ages*
Do you live in...*
Other specified*
Do you have a secured fenced yard?*
Black Russian Terrier Data
Are you interested in...*
Gender interested in...*
Why are you interested in obtaining one of Queens Over's BRTS?*
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?*
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?*
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?*
Have you ever trained a dog before?*
BRT requires regular grooming, who will be responsible for it?*
Have you ever had to euthanize a dog?*
If so, why?*
Are you willing to spay/neuter this dog?*
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?*
Do you have any special concerns about BRTs?*
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?*
Signature (please type your name)*
Date*

Puppy Buyer Application

Puppy Application

Family Data

Black Russian Terrier Data