Heather Doucette
Teddy Bear Malinois
11875 NE 212th ST RD
Ft.McCoy, FL 32134
Application For A Teddy Bear Malinois
Name:

Street Address:

City, ST, Zip:

Phone Number:

E-mail:

1) Primary reason for wanting dog:

2)Are you interested in a:

Male
Female
Either

3) Have you owned a Belgian Malinois Before?

Yes
No

4) Have you bred a litter of puppies before?Before?

Yes
No

If Yes, How many?

1-3
4-7
Greater than 7
Date and Breed of most recent litter:

5)Show experience:(check all that apply)

None

Conformation

Obedience

Tracking

Field

Herding

Search and Rescue

French Ring

Shutzhund

6)Housing (yours)?

Apartment
House
Condo

Own
Rent

7)Primary Housing (Dog)

Inside
Fenced Yard
Dog Run/Kennel

8)If puppy's primary housing is inside, where will it be kept during the day when you are not home?

Loose in house
Crate

9)If puppy's primary housing is outside, will it be allowed in the house?

Yes
No
Will you socialize this puppy? How

Please tell us about you and your family:

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