Puppy Application

Home
About Us
The Girls
- Siri
- Hottie
- Cessna
- Scout
- Luxe
The Boys
- Ultra
- Aero
Puppy Info
Litters
Puppy Application
Contact Us

SIRAI DOBERMANS PUPPY APPLICATION

PLEASE FILL OUT THE INFORMATION COMPLETELY AND SELECT "SUBMIT." WE WILL CONTACT YOU SHORTLY.

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Do You Own or Rent Your Home *

Own Rent

Landlord's Name/Address/Email if Applicable *

Length of Time at Present Address *

Are you Military *

Yes No

Are you planning a move in the near future? *

Yes No

Are there any bylaws, covenants, or other restrictions on dogs where you live? *

Yes No

Employer *

Length of time you've been employed there: *

Phone: *

Which best describes you? *

Single Married Long Term Relationship

Number of adults in the home? *

Number of children in the home? *

Ages of Children? *

Does anyone in your household have pet allergies? *

Yes No

Is everyone in your household comfortable with obtaining a new Doberman puppy? *

Yes No

Are you aware there may be homeowner's insurance issues when owning a Doberman? *

Yes No

Please list all other animals currently in your household (type, breed, sex): *

Have you owned a Doberman previously? *

Yes No

Other Dog Breeds? *

Yes No

Were they spayed or neutered? *

Yes No

How long did you have your previous dogs? Did they live their entire life with you? *

Have you ever rehomed a dog or other pet before? If so, why? *

Have you ever intentionally or accidentally had a litter? If yes, please explain. *

Why do you want a Doberman? *

Any color preference? *

No preference Black Red

Any Gender Preference? *

No preference Male Female

Do you have a specific reason for your gender preference? If yes, please explain. *

Do you have an established Veterinarian? *

Yes No

If so, please include name, phone and address: *

What activities, if any, are of interest to you? (Please select all that apply.) *

Conformation Shows Rally/Obedience Agility Flyball Therapy Work Breeding Pet/Companion

Is this Doberman to be a gift? *

Yes No

If yes, for whom? *

Have you ever earned AKC or other titles on a dog? If so, please describe. *

Where and with whom will the Doberman spend time in the following situations?

When you're home: *

When you're at work or away? *

When you're on vacation or out of town? *

At night? *

Will you use a crate? *

Yes No Unsure

Do you have a fenced yard? *

Yes No

If yes, how tall is the fence? What material is it made of? *

Do the gates have latches/locks? *

Yes No

How do you plan to keep a Doberman exercised? *

Would you permit us, or a friend of ours, to visit your home before a puppy is placed with you? *

Yes No

Do you understand that all Companion/Pet puppies will be given AKC Limited Registration (no breeding rights)? *

Yes No

Are you willing to sign an ownership contract before a puppy is placed with you? *

Yes No

Do you agree to attend a basic obedience class to train the puppy? *

Yes No

Do you agree to return the Doberman to Charlene Dunnam, Sirai Dobermans, should any circumstance arise that means you are unable to keep the dog? *

Yes No

Do you agree to keep in contact with the breeder, Charlene Dunnam, throughout the life of the dog and update the breeder with any changes to address, phone or email? *

Yes No

PLEASE PROVIDE 3 PERSONAL REFERENCES:

Name *

First

Last

Email *

Phone Number *

Name *

First

Last

Email *

Phone Number *

Name *

First

Last

Email *

Phone Number *

Submit

Home
About Us
The Girls
- Siri
- Hottie
- Cessna
- Scout
- Luxe
The Boys
- Ultra
- Aero
Puppy Info
Litters
Puppy Application
Contact Us