Name & Last Name

Email

Telephone

Street Address

City

State

Zip Code

SPOUSE/PARTNER'S NAME

DO YOU OWN/RENT YOUR HOME?
---OwnRent

HOW MANY PEOPLE LIVE IN YOUR HOUSEHOLD?
---1234+5

FENCED YARD?
---YesNo

FENCE HEIGHT?

PLEASE DESCRIBE THOSE LIVING IN YOUR HOUSEHOLD:

DESCRIBE YOUR LIFESTYLE:

WHAT ARE YOU INTERESTED IN?
COMPANIONBREEDINGSHOW/CONFORMATIONOBEDIENCE/AGILITY

We cannot guarantee gender, color or number of puppies in a litter but we are interested in knowing your preferences.

GENDER
MALEFEMALE

COLOR PREFERENCE
WHITEBRINDLEREDTRIBLACK BRINDLE

HAVE YOU OWNED A BULL TERRIER OR A MINIATURE BULL TERRIER BEFORE?
---YesNo

IF YES, PLEASE EXPLAIN:

IS ANYONE HOME DURING THE DAY PART TIME/FULL TIME TO TRAIN A PUPPY?

WHAT ARE YOUR PLANS ON SOCIALIZING YOUR PUPPY OR DOG?

WHERE WILL THE PUPPY OR DOG SLEEP AT NIGHT?

WHERE WILL THE PUPPY OR DOG SPEND MOST OF HIS/HER DAY?

WHAT ARE YOUR THOUGHTS ON CRATE TRAINING?

PLEASE DESCRIBE THE QUALITIES YOU LIKE IN A DOG:

ARE YOU AWARE OF THE HEALTH CONCERNS RELATED TO THIS BREED AND ABLE TO FINANCIALLY PERFORM ALL RECOMMENDED HEALTH TESTING?

DO YOU PLAN TO SPAY/NEUTER THIS DOG? WILL YOU AGREE TO LATE SPAYING/NEUTERING TO ALLOW YOUR PUP TO MATURE?

HAVE YOU OWNED OTHER DOGS IN THE PAST?

WHERE ARE THEY NOW?

WHY HAVE YOU CHOSEN THIS BREED?

DO YOU UNDERSTAND THAT WE SELL EVERY PUPPY ON A CO-OWNERSHIP AGREEMENT? ANY CONCERNS?

ANY QUESTIONS OR COMMENTS?