Terry and Jodi LaBombard
To help ensure we have the right puppy for your family, we ask you fill out
this application and submit it to us. Please answer questions honestly.
Name: __________________________________________________ Date: ________________
Address: ______________________________________________________________________
Phone: __________________________________ Email:
________________________________
How did you find out about us?
_____________________________________________________
Total number of people living in Household: ________________ Ages of children:
_____________
Do you have pets now? _________What
kind__________________________________________
Have you ever owned a Rottweiler? ____________________
Do all family members want a new puppy? __________________________________
Why do you want a Rottweiler? ______________________________
Are you interested in a pet
or show quality Rottweiler?________________________
Do you plan on breeding? ________________
Do you want a male or female? ___________ Why?
____________________________________________________________________
What qualities are most important to you (scale 1-7; 1 being the most important
to you)
Appearance_____ Temperament____ Low Maintenance____ Adaptable ____
Companion______ Obedience_____ Other _______
Do you live in a: house___ apartment___ condo____
Do you: own____ or rent_____
If you rent can you provide a notarized letter from your landlord allowing you
to have a dog?______
Where will the dog be accommodated during the day?
_____________________________________
At night?
_________________________________________________________________________
When outdoors will the dog be: in kennel___ tied up____ in a fenced yard____
free to roam_____?
Are you away often for long periods? ___________ How long?
____________________________
Are you prepared for the financial responsibility of a large dog?
_______________
How much do you expect to spend on the puppy? ___________________
How much do you expect to spend on food per month? _________________________
What brand of food will you feed? ______________________________________
Will your puppy attend obedience training? ______________________________
Do you have an established vet? ____________
Is your vet familiar with large breed dogs? ________________________
What is the name of your vet? _____________________
Signed: _____________________________________________________________________
Back to Litter Information page.