VOM ATUBROS - QUESTIONNAIRE

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This questionnaire is for the purpose of selection and placement of a dog / puppy in a positive environment. Any and all information given herein will be used solely for that purpose. Please be as detailed as you can in your descriptions or it may effect the decision of the breeders to consider you as a good home.

This Questionnaire is secure and private and will only be viewed by the Breeder.


* Required Fields
* Name:
* Street Address:
* City:
* State:
* Zip Code:
* Home Phone:
Work Phone:
Cell Phone:
* What is a good time to call you if we need to reach you?
* Email Address:
Website:
* How were you referred to us?
* Tell us a little about the type of residence that you live in. And wheather you rent or own.
* Have you owned a Rottweiler before?
* Why are you interested in obtaining a dog from VOM ATUBROS ROTTWEILERS?
* Are you committed to the care and well-being of this dog for its' lifetime?
* What will you be feeding this Rottweiler as a diet?
* You are interested in: (Please check all that apply) PUPPY (MALE)
PUPPY (FEMALE)
YOUTH (MALE)
YOUTH (FEMALE)
ADULT (MALE)
ADULT (FEMALE)
* Size Preference: (Please check all that apply) SMALL
MEDIUM
LARGE
X-LARGE
NO PREFERENCE
* What are your plans for this dog? (Please check all that apply) AKC OBEDIENCE
BREEDING
CARTING
COMPANION
PET
PROTECTION
SCHUTZHUND
SHOW
THERAPY DOG
TRACKING
WORKING
* VOM ATUBROS reserves the right to do a check on any placement homes for our puppies at a time that is mutually agreed upon, if the home is in question before or after a placement has been made. Please keep us informed if anything on this application should change. Do you agree to these terms?
* Where will this dog stay during the day?
* Where will this dog stay during the night?
* Why do you want to own a Rottweiler?
* What qualities do you expect in this breed?
* What qualities do you not want in this breed?
* Please tell us the dogs that you have owned and a little bit about them:
* Have you examined our Contract?
* Have you read information about Rottweiler care, training and understand the responsibilities?
* Do you understand the Spay/Neuter Agreement for pet quality puppies?
* Do you understand our policy If you are considering breeding? (ie. Required OFA and other health exams)
* Who will be responsible for this dog?
* Do you have all the equipment, a proper crate and other materials for your dog?
* Have you checked into Breed/Training clubs in your area?
* Do you have a training facility in your area?
* Where is it located and who will be training with you and your dog?
* What animals do you have in the home presently?
* What type of relationship are you in?
* Do you have any children?
* How many children?
* What are the ages of the children?
* Are there any others in the household that will have contact with the dog?
* Any additional information that may help us make our decision:
* I do understand that Vom Atubros reserves the right to turn down any homes not deemed suitable.
* All the above information is correct to the BEST of our knowledge. YES
NO

Thank you for contacting vom Atubros and good luck in your search.



 

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~ Vom ATUBROS Rottweilers ~

E-Mail : VomAtubros@aol.com



 

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