* Name

* Address

* Phone (Home)

Phone (Work or Cell)

Referred By

What reference materials have you read?

* How many individual Doberman have you been acquainted with, what did you like and dislike about them.

* Type of Dwelling: House, Condo, Apartment, Mobile Home

If renting (apartment or lot), please give name and address of landlord.

* Contact info for your Veternarian

* Who will be the primary care giver?

* Where will the puppy be kept at night?

* Where will puppy be kept during the day?

* How many hours on the average will the puppy be left alone?

* Have you ever owned a dog before?

* Do you have other animals?

* Do you have children? If yes, what are their ages.

* Does anyone in the household have allergies to animals?

* Are you interested in a male or female?

* At what age do you wish to get the puppy?

* What type of activity level are you looking for in a pup: Very High, High, Moderate, Below average.

* How will puppy be confined outside?

* Have you ever house trained a dog before?

* How long have you lived at your current address?

* Will you be attending training classes with your puppy?

* How long did your last pet live? What were the circumstances of it's death?

* Have you ever returned a dog to the breeder? What were the circumstances?

* Have you ever given a pet away? What were the circumstances?

* Have you ever taken a pet to a shelter or pound? If so, What were the circumstances?

* Are you interested in showing the dog in the comformation ring?

* Are you interested in competition in performance events such as obedience, agility, ect..?

* Do you intend to bred this dog or have them altered?

* Do you understand the difference between limited registration and full registration