TO FILL OUT THIS APPLICATION PASTE INTO YOUR E-MAIL BROWSER AND SEND TO heathrob@atlantic.net OR PRINT THIS
APPLICATION OUT AND SEND TO:
Teddy Bear Malinois
Heather Doucette
308 Oak Lane Track
Ocala, FL 34472
Name: ____________________________________________________
Address:___________________________________________________  
City,  ST,  Zip: _____________________________________________
Phone: (           )_________________
E-mail address_______________                                       


1.  Primary reason for wanting a Malinois:  




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:       Yes       No

If  Yes:  How many :    1-3  ;   4-7 ;   greater than 7

Date and Breed of most recent litter:   Date:    /    _ /____   Breed:   _____________________________

5.  Show experience:
None    
Conformation   
Obedience  
Tracking                                     
Field       
Herding       
Search and Rescue
French Ring     
Schutzhund   
Other:___________

6.  Housing/Yours:    Own  or   Rent
 Apartment  
House    
Condo
Other:___________                                     

7.  Primary Housing/Dog:
Inside   
Fenced Yard  
Dog Run/Kennel
If:     Fenced Yard--Fence height:______________
If:     Kennel--Covered  or  Uncovered         
       Inside  Kennel    or       Outside Kennel----Height of outside kennel:____

8.  If dogs primary housing is Inside, where will it be kept during the day:
Loose     
Crate    
Outside    
Other:________________________

9.  If dogs primary housing is Outside will it be allowed in your house:
No    Yes-______Hours per week

10.  How will you socialize the dog: ________________________________        
__________________________________________________________


11.  Please tell us about you and your
family:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               




12.  Do you intend to show your puppy?  If so In what?


13.  Do you have children? If so how many and what ages?



14. How will you deal with the high energy level of your Malinois Puppy?


15. Do you intend to breed your puppy? If not are you going to spay/neuter the pup?



Signed: ________________________________   Date: ______________________