Your First Name:
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Your Last Name:
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E-mail:
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Phone:
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Street Address
Address 2
City
State
Zip Code
Website
Best Time to Call
How Were You Referred to Us?
Why are you interested in obtaining a dog from KetelHaus?
I am interested in...
Male Puppy
Female Puppy
Adult Male
Adult Female
Information Only
Handling
Services
Pedigree Research
Structure/Size Preference
Large/Robust
Correct to Standard
Small
None
The reason you want to own one of our dogs (be specific so we can refer trainers to you)
Companion/Pet
Show/Breeding
Obedience Ring
Protection/Working Ring
Tracking
Carting
What qualities do you expect in this breed?
What qualities do you not want in this breed?
Is this your first time with this breed?
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Yes
No
Why do you want a Rottweiler specifically?
Tell us about dogs that you previously owned.
Animals Present at Home Now?
Have you examined our contract?
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Yes
No
Do you understand the Spay/Neuter agreement for pets?
Please Select
Yes
No
Are you committed to caring for this dog for it's lifetime?
Please Select
Yes
No
Not Sure
Do you have training facilities in your area?
Please Select
Yes
No
I don't know
If you are considering breeding, do you understand our policy on required OFA and other health exams prior?
Please Select
Yes
No
Will you contact us prior to breeding for information that might benefit the offspring of the Rottweiler?
Please Select
Yes
No
KetelHaus reserves the right to do a check on any placement homes for our puppies at a time that is mutually agreed upon, if the home is in question before or after the placement has been made.
Do you agree to these terms?
Please Select
Yes
No
______________________________________________
Family/House Info
Are you...
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Married
Single
Divorced
Do you have children?
Please Select
Yes
No
How Many?
What Ages?
Others in the house that will have contact with the dog?
Who will be responsible for the dog?
Where will the dog stay during the day?
Where will the dog stay at night?
You live in a...
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Urban Area
Suburban Area
Rural Area
Housing Terms
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Own Home
Rent Home
Own Condo
Rent Apartment
Have you read information about Rottweiler care, training, and do you understand the responsibilies?
Please Select
Yes
No
Do you have all the equipment, a proper crate and other materials to care for your dog?
Please Select
Yes
No
I don't know
What will you be feeding your Rottweiler?
Have you checked into Breed/Training clubs in your area?
Please Select
Yes
No
Where is it located and who will be training with you and your dog?
Please include any additional info that will help us make our decision.
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