Pup_application

Eternal Moon puppy application

With our sincere effort to place the best puppy/dog with you & your family, please complete in the Eternal Moon puppy application in full.
Disclaimer: We guarantee that we do not share or sell your data. This is for private Eternal Moon pre-screening purposes only.

Personal

Last name *

First Name *

Street *

City *

State

ZIP *

Country *

Contact

e-mail *

Home Phone *

Cell Phone *

Your Age? Under 25 25-40 40-55 Over 55

Children(s) name/age

Your plans/experience:

What are you looking for? Male Female Show Pet

What dog age group(s) are you considering? Puppy Adolescent Adult Age does not matter

Your experience with a rottweiler? Own Owned Friend's dog Babysat None

Do you have training/obedience/socialization planned? If so, with whom? (name/contact info)

What activities do you plan to pursue? Obed. Agility Rally Therapy Tracking SchH Herding Carting Swim Other

Any clubs you are associated with? Canine or otherwise.

List your past pets and what happened to them:

Do you have other pets? breed, age, altered? Please list.

Are all your pets current on all vaccines? If so, which vaccines, heart-worm & flea/tick prevention do you use?

What are your thoughts on Spay/Neuter?

Living conditions

Do you live in a? House Condo Apartment Own Rent

Other dwelling? please explain:

Type of location: City Suburban Country Fenced Unfenced

Other location? please explain:

Where will the dog reside daily? Home Garage To work with Kennel Basement Outside

Please provide more info on where the dog will stay, conditions?

Will the dog be alone for 5 hours or more? No 1-2 days/wk 3-4 days/wk 5-7 days/wk

Spam verification required

Final information

Where did you hear of Eternal Moon Rottweilers? *

Please tell me anything you want me to know.

Please list three references: Vet, neighbor, friend w/Contact info

Thank YOU! for filling out my puppy application form.
It is an important part of the process. This information helps me figure out which puppy will fit your needs, as well for the puppy. I will either contact you or, you are welcome to contact me at 757-615-8260 or linda.etmoon@gmail.com.