Clarisma K9 | Clarisma K9's Questionnaire

Name *

First

Last Name *

Last

Spouse's Name *

First

Spouse"s Last Name *

Last

Email Address *

Enter Email

Confirm Email Address *

Confirm Email

Address *

Address

City

State/Province

Zip/Postal

Country

How many people live in your home? *

Ages? *

Are you currently on a waiting list for another breeder or litter? *

yes

no

Are you aware Labradors or Belgian Malinois are heavy shedders? *

yes

no

Are you prepared to care for a dog for its lifetime of approximately 12 - 15 years? *

yes

no

Do you live in a? *

Do you Own or Rent *

Own

Rent

Do you have a fenced in yard? *

yes

no

How long will the puppy be crated? *

less than 1 hour at a time

1 - 3 hours at a time

3 - 6 hours at a time

6 plus hours at a time

Where will the puppy reside? *

Have you owned a dog before? *

Yes

No

If Yes, What BreedIf Yes, What Breed

Are you willing to put time into training your puppy? *

Yes, will train yourself

Yes, would love advice and train yourself

Yes, will be going to puppy classes

No time

Have you or a neighbor lost a dog to Parvo in the last year? *

yes

no

Do all family members on board and want an addition to the family? *

yes

no

Which type of dog are you looking for?

Labradors

Belgian Malinois

If Labrador: which color?

Choclate

Yellow

Black

Please List References (Vet, Friends, Family):

What type of personality are you looking for?