1. Name:  

 2. Address:

 3. Email Address:

 4. PhoneNumber:   Home

                                 Work

 5. Do you own your home:

 6. Marital Status

 7. Does your spouse/significant other share your desire for a puppy

 8. Occupation:                                                   Spouses Occupation:

 9. Do you have Children, (if so how many & ages):

10. How did you hear about Cresswell Dobermans:

11. Why have you chosen a Doberman:

12. Have you familiarized yourself with the breed: (size, grooming, feeding, medical care, exercise needs,etc):

13. Have you ever owned a Doberman:

14, Do you currently own any other dogs:

15. If Yes :                                               Spay/Neuter Status:

      Age                                                    Breed

16. Have you ever removed a dog from your care due to: (Temperament Problems, Personal Changes in your

      Life,Allergies etc)

17. Veterinarian’s Name:

18. Can your Vet be contacted for references:                                                     

      Phone Number:

19. Who will care for your puppy during working hours:                                    

20. Who will be the primary caretaker of your new puppy:

21. What sex puppy are you looking for:         Male:                        Female:

22. Do you have a color Preference:      Red & Tan:                       Black & Tan

23. Do you have a securely fenced yard:

24. Please tell us your plans for exercising and housing, your new Doberman:

25. What are your main goals for wanting a Doberman:                                             

      Companion:

      Show/Obedience/Agility/Field work:

      Breeding:

26. Do you agree to have your Doberman spayed/neutered:

27. Are you willing to take your puppy to Obedience/Socializing Classes:

28. Are you in favor of crate training:

29. Will you be willing to keep in contact with us regarding the puppy: