printable version to print and mail
Name(s):
Street:
City:   ST:    Zip:     
Phone:      Cell Phone:   
Email:
   
  1.  Have you owned a Rottweiler before?     Yes   No

       If "yes," for how long?  
       If "no," what other kinds of dogs have you owned, and how long have you
      owned them?
      

  2.  How many dogs do you have living with you now?
       (Please give age, sex, breed, and if they have been spayed/neutered)
      

  3.  Have you ever had to give a dog away?  Yes  No
       If "yes," what was the reason?
      

  4.  Have you ever euthanized a dog?   Yes  No
       If "yes," what was the reason?
      

  5.  How many adults and children are in the household?
       Adults  Children

  6.  What are the ages of the children?  

  7.  Will someone be at home with the dog during the day?  If no, please explain
       how long the dog will be left alone and where the dog will stay while alone.
      

  8.  Are you familiar with crate training a puppy?   Yes  No

       If "no," are you willing to try crate training?  Yes  No

  9.  Do you want a male or a female? 

10.  What is the reason for your choice?
      

11.  Do you own or rent your home?  Own  Rent

12.  Is this a house, townhouse, apartment? 

13.  Do you have a yard?  Yes  No

       If "yes," please describe (size of yard, type and height of fencing, etc.)
      

14.  If "no," are you able to walk your dog on leash multiple times per day?
      Yes  No

15.  Where will the dog spend most of it's time, and where will the dog sleep?
      

16.  What are your estimated costs per year for this dog?
       (including vet bills,  feeding, obedience training and other supplies). 
      

17.  Will you take your dog to obedience training?   Yes  No

       If "yes," where will you take your dog to obedience class? 
      

18.  What are your long-term goals for this dog?  (Check all that apply)  

Companion Therapy Dog
Obedience Breeding
Agility Carting
Conformation Schutzund
Herding Protection Work
Tracking Other

               If you checked "other, Please explain:
              

19.   Are you aware that this is a protection breed, and will properly guard
       it's territory against all outsiders?  This will include neighbors, delivery
       people, and other strangers entering your home. 
      

20.  Are you aware that this breed can be pushy, headstrong and dominant?
      

21.  Who will be the first person you call if you have a question about your dog?
      

22.  Name and phone number of your veterinarian:
      

23.  Please provide the name, address and phone number of two references
       (dog professionals or others with dogs):