Question Form - Old World Kennel

FLASH: Now Taking Puppy Reservations. See our "Puppies" page for details

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Member ADRK, RKNA, DVG, USA

Contact Us:

Old World Kennel

Pataskala, OH

USA 43062

info@oldworldkennel.com

Tel: 614-581-8402

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Puppy Buyer Questionnaire
Full Name
First Name Last Name
E-mail

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Home Number
- Area Code Phone Number
Mobile Number
- Area Code Phone Number
How were you referred to us?
Please list the sire and dam of the litter that you would like to reserve a puppy from:
Are you interested in?

Male Female Either
What type of dog are you primarily looking for?

Show & Breeding Pet
Please select the two most important preferences that describe what you are looking for in a rottweiler:

Pet Protection Show Schutzhund Obedience Breeding
How many dogs do you currently own?
What sex(es)?
Which breeds?
Have you ever owned a rottweiler before?
Have you ever titled a dog in the sport of schutzhund?
If so, what level(s) did you achieve?
Have you ever shown a dog that has finished its AKC Championship, recieved a sieger or siegerin title, or finished another recognized Championship?
If so, which one(s)
Have you ever put a Ztp, Korung, BST, or ABST title on a dog?
If so, which one(s)
Have you ever put an obedience title on a dog?
Do you reside in the city, in a rural, or a suburban area?
Do you have a fenced in yard?
Will your dog ever be left on a chain or cable unattended?
Do you have time to walk your dog at least two times daily?
Do you have children? If so, how many? What ages?
Do you plan to x-ray your dog for hip dysplasia?
Will your dog ever be left alone while you are at work?
If so, where will he or she stay?
Have you read and do you fully understand all of the information found on the following webpage? http://www.oldworldkennel.com/puppies/
Have you?

Yes No
If you would like to expand your answers to any of the questions listed above, or would simply like to give us some more information that would help us to better get to know you and what you are looking for, please do so here:
Information
This form must be filled out completely and returned to us before you can be considered for one of our litter reservation lists. Once we have reviewed the list, we will contact you and may have a question or two that is not listed here. If at that time we all agree that one of our puppies would be a good fit for you and your family, we would require a deposit before we can officially add you to the reservation list.
Date
Month Day Year
Your signature(s)
Should be Empty:

Member ADRK, RKNA, DVG, USA

Puppy Buyer Questionnaire