LeMils Dobermans | Puppy Application

Interested in a puppy? Please fill out our puppy questionnaire. When you're finished, click the 'submit' button. Once I receive your questionnaire, I will be in touch with you.

* = required field
* Name
* Street Address
* City
* State
* Zip/Postal code
* Phone
Alternate phone
* Email Address

* Reason for wanting a Doberman puppy

* Male or Female?	Male Female
	Why?

Interests	Pet Show Obedience Agility Other
	Why?

* Have you owned Dobermans before?	Yes No
	If yes: do you still own? Yes No
	If no, how died?
	Age(s) at death:

* Current pets?
	Sex of current pets: M F Neutered
* Cats?
* Do you have more than 1 dog in your home?	Yes No
	How many dogs do you have?
Breeds of dogs have

* How far will you travel to get your new puppy?

* Family members and ages
Children

* Someone home during the day?	Yes No
* How much time would the puppy be alone?
If no one home, will you provide puppy daycare, pet sitter, other?

* Where will the puppy live?

* Do you have a fenced yard?	Yes No
	If yes... how high is the fence?
	If no...will you provide one before your puppy comes? Yes No
* Will you provide photo of your fenced yard?	Yes No
NO FENCE, NO PUPPY!

Current Veterinarian's Name
Vet's address
Vet phone number

A non-refundable deposit of $500.00 is required to reserve a LeMils Doberman.