Contact Information:

How did you find us?   
 

Are you interested in a....?

Male 

Female   

Puppy 

Older dog

Information only

Are you interested in....?

Companion/Pet 

Show/Breeding    

Obedience 

Working Sport

Have you owned this breed before?

Yes

No    

Why do you want to own this breed? 
 

Previously owned dogs (give breed/how long you had them for, etc.) 
 

Animals presently in home now... 
 

Are you committed to caring for this dog for its lifetime?

Yes

No    

Family Data:

Are you....

Married

Single    

Your age: 

Age of children:

Yes

No    

Others in household who will have contact with dog:
 

Who will be responsible for this puppy/dog for the majority of the time? 
 

What is your work schedule?
 

Do you want a house dog or an outside dog?

House Dog

Outside Dog    

 

What will your living arrangements be?

 

What are your goals for this puppy, whether for pet or show?

 

Please list 3 personal references (ie. your Vet, other breeders, breed clubs, etc.). Please include name, contact info (please include email, if possible), and their relationship to you.  At least one should be a veterinarian or breeder.

 

 

Please list any additional information that may help us make our decision. 
 

Please note:  Submitting this questionnaire does not guarantee you a puppy.

Thank you,  Karen and Mark Byrnes Kruzinhaus Rottweilers

       

 

       

kruzinhaus@shaw.ca

   

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