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
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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: ______________________