ROTTWEILER APPLICATION ENGELBERG ROTTWEILERS & SHIBA INUS

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Liz & Peter Engelberger
Nanaimo/BC
CANADA
(250) 722 0021
rottenfamily@angelmountain.com

Thank you for your interest in our Rottweilers !

Puppy Purchase Application

This questionnaire will help us to determine, if the Rottweiler is the ideal breed for you
and enables us to provide efficient help and select the right pup for you
and also fill in some gray areas which you might have about the breed in general..
ownership.. training.. and caring.

All information is confidential and used only by us.

Your full name:
Street address
City
Prov/State
Country
Zip Code
Home#
Work#
Fax
Your email Address:
How did you hear about Engelberg Rottweilers?
Have you ever owned a dog before?	yes no
If "yes" what type of dog was it and what happened to it
Why did you choose the Rottweiler breed and what do you know or believe about them?
Do you currently live in a	House Apt Condo Mobile Other
Do you	Own Rent
If you rent, does your lease allow pets, in particular a Rottweiler?
Do you have a fenced yard?	Yes No Part
If yes, how high and describe your fence
How will you keep your dog confined to your property?	HousePatio Kennel Fenced Yard On Chain Garage Leash Not confined
Did you ever surrender an animal to a shelter, family member or friend? If so, explain when and why
Are you financially able to care for a large dog long-term?	Yes No
What is your estimate of the monthly cost for a large dog?	Feeding, vet care, emergency situations, licensing, etc.
Do you belong to any clubs?	Yes No
Do you want a Rottweiler as a	House Pet Guard Dog Watch Dog Companion for another dog Gift
Do you want a male of female?	Male Female
Why? Describe reason of choice
Where will the puppy( adult) spend its time when you are not at home?
Where will the puppy( adult) sleep at night
How many hours will the puppy (adult) spend alone without human companionship?
Do you believe in crates (crate training)?	Yes No
Do you believe in kennels?	Yes No
Will you take the puppy through all stages of obedience classes?	Yes No Don't know
Do you currently have children or plans to have in the future	Yes No Don't want children
If yes, what are their ages, and have they had interactions with dogs
Are there other pets who will be living with the puppy?	Yes No
If yes, what type of other pets and what gender?
Are you willing to put pet insurance on your puppy (adult)?	Yes No
Any questions you may want to ask here
I certify that the information I have provided on this form is true, correct, and accurate. I am financially and physically capable to care for the puppy or adult placed in my care. I understand there is no obligation to adopt or sell a Rottweiler to me, now or in the future. I understand that my electronically-generated signature (below) is as valid as a means of legal signature for the purpose of this application. Signature: Date: