Please provide the following contact information:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
E-mail
URL

Type of dwelling?

House
Condo
Apartment
Mobile Home

Do you have a fenced in yard? If yes, please describe.

Have you ever owned a dog before? If so, what breeds, ages, etc.?

Do you have any other animals? If yes, what kind and number? Are they aggressive toward other animals?

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

How long did your last pet live? What were the circumstances of its' death?

Have you ever returned a pet to the breeder? If so, what were the circumstances?

Have you ever given a pet away? If so, what were the circumstances?

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

Have you ever earned any titles on any dogs? If yes, please specify.

Why do you want a Rottweiler?

What do you know about this breed?

Do you now or have you in the past belonged to any dog clubs? If yes, please specify.

Are you interested in a male or female puppy? Why?

What do you expect the activity level of this breed to be?

Very High
High
Moderate
Below Average

Where will the puppy sleep at the night?

Where will the puppy spend its time when you are not at home?

How will he/she be confined when outside?

Do you intend to crate train the puppy? Have you done this before? Please describe the crate and your experience.

Will you be attending any training classes? If yes, please describe.

Are you interested in participating in any competitive events with the puppy (such as conformation, obedience, agility, herding, etc.)? If yes, please specify.

Do you intend to breed the dog?

Yes
No

Please provide the name and phone number of your vet.

Please provide the names, addresses and phone numbers of two personal references.

Thank you for considering a VanSach Rottweilers puppy as the new addition to your home. Please note that completion and submission of this form does not guarantee a puppy reservation. If the information you provide herein, or additional information as requested or required, is acceptable, we will contact you to discuss contract terms, purchase price and deposit. A deposit will be required to guarantee your puppy reservation. All reservations will be fulfilled on a first come, first serve basis, dependent on the type of puppy requested (i.e. show quality puppies will be placed first in show homes, etc.). Dates for submission of reservation will be determined by the date the deposit is received.