Puppy Questionaire:

Please complete the following form if you wish to be considered for a Derringer puppy !

First Name:
Last Name:
Residential Address:
Email Address:
Home Phone:
Mobile Phone:


What are your reasons for getting a Dobermann?

Companion
Obedience Competition
Conformation Competition
Breeding
Business security
Home security
Other

Multiple items may be chosen.



Where will the Dobermann live?

Have not decided
At home (Indoors)
At home (Outdoors)
At business

Multiple items may be chosen.

In a Fenced Area?

None
Fenced Yard
Dog kennel or run


Which of the following best describes you?

Single
Married
Long Term Relationship



What is your colour preference ?


Colour Unimportant
Black/rust
Red/rust
Blue/rust (seldomly available)
Fawn/rust (seldolmly available)

 Multiple items may be chosen.



Will the dog be around any of the following?


Other dogs
Cats
Other pets
Livestock
Children
Strangers (Many)
Situation may vary

Multiple items may be chosen.



Would you Consider owning a Dobermann over 6 months old?


No, I really want a puppy!
Sure, Age is not important
Yes, depending on how old it is.



Preferred Sex:

Does not matter
Male
Female
Mixed Pair
Matched Pair

Desexing:

Have not decided
Spayed/nuetered
Intact

Activity Level:

Does not matter
Calm/laid back
Moderately active
Energetic


Any additional information or comments ?