Puppy Application

Please note all field with an star are required.

First Name

Last Name

Phone

Email

Address

Have you owned a bouvier before?

NO

YES

If yes, where did you get your bouvier from?

What is your reason for wanting a bouvier?

What are you interested in?

Puppy

Adult

No preference

Choose desired sex

Male

Female

No preference

Desired timeframe?

What are your interest?

Pet

Conformation

Rally/obedience

Agility

Herding

Protection/ Sport

Therapy

Scent work

What kind of yard do you have?

How may hours per day are you gone? Where will the dog stay?

What other pets do you have? List below type, age, sex.

other dogs

cats/birds/chickens

rats/guinea pigs/ferrets

Name/address/phone number of veterinarian.

Name/address phone number of your groomer.

In addition to the purchase of the dog, are you willing to invest an additional $300-500 for a crate, leash, collar, spay/neuter, training, etc

Yes

No

What other breeds have you owned in the past? Age at death.

Have you ever returned a dog to the breeder, rehomed a dog or euthanized a young dog? Explain

How did you find us?

Thanks for submitting!

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