Please complete the following form if you wish to be considered for a Derringer puppy !
Companion Obedience Competition Conformation Competition Breeding Business security Home security Other Multiple items may be chosen.
Have not decided At home (Indoors) At home (Outdoors) At business
Multiple items may be chosen.
In a Fenced Area?
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:
Desexing:
Activity Level:
Does not matter Calm/laid back Moderately active Energetic
Any additional information or comments ?