-Bern Williams
Name: Address:
City, State/Prov Phone Number: Your email address:
Are you looking for a Male or Female? Puppy or Older Dog?
This dog is to be a: Show Prospect Working Dog Companion Only To compete in: Agility Obedience Schutzhund Herding Tracking Flyball Therapy Other - explain below
What specific qualities are you looking for in a Dog?
What are your goals for this Dog?
Tell us about your family: How many adults live in your home? How many children? Ages of children How many dogs live with you now? Any other pets?
Tell us more about your family, pets, lifestyle, work schedules etc.
Tell us about your home: Is the area that you live in Rural Suburban City? Do you Own or Rent? Will the dogs live Indoors or Outdoors? Will this dog have access to a fenced yard? Yes No Are you comfortable crate training your pup? Yes No
Tell us about your experience with dogs. List all dogs you have owned and what happened to them.
List any dog-related clubs you belong to. List any titles that you and your dogs have achieved.
Please provide us with two references. If you have previously owned a dog, one of the references must be a breeder, veterinarian, or trainer.
Please include any additional information that you would like us to consider:
Are you willing to travel to pick your puppy up? Yes No
No Matter how little money and how few possessions, you own, having a dog makes you rich Louis Sabin - Author
No Matter how little money and how few possessions, you own, having a dog makes you rich