Prospective Buyer Information

Name *

E-Mail *

City, State, Zip Code *

Address *

Phone number and best time to reach you *

How did you hear from us? *

When do you plan to get a puppy? *

Why did you choose Belgian Sheepdogs? *

What interested you in this breed? *

Have you owned a Belgian Sheepdog in the past? *

Are you acquiring a dog for yourself or for someone else? *

If you are married, how does your spouse feel about the addition of a Belgian Sheepdog? *

Do you have children living at home? What are their names/ages? *

Do you rent or own and if you have a landlord do tou have permission for an additional dog? Please provfide your landlord’s contact information: Name Address Phone E-mail *

In which type of area is your home located? * urbansuburbanrural

Occupation, hours/work? Will the dog be at home when you work or travel? *

Amount of time you can spend with your dog in training and playing over the course of a week? *

Who in your household will be training your pup? *

Describe your home and yard. Is your yard fenced? *

Where will your dog sleep and play and hang out? *

What activities do you hope to engage with your dog? Dogsports? other activities like hiking biking, Frisbee etc. *

Please describe the other dogs you live with (name, breed, age, gender or each whether intact or not, and a few words about temperament of each. If any are Belgians, please also list breeder/ kennel name. *

Other animals in your household (or that dog may be in contact with, like horses , cats, etc. *

Have you ever given a dog back to the breeder, to a friend, or to a rescue organization)? If so, explain here. *

Have you ever used a crate in house training a puppy or dog? Do you intend to use a crate for this dog? *

What will you do with the dog when you go on a vacation trip? *

In the event of an emvergency ( e.g., hospitalization, natural disaster, etc.), who would take care of your dog? *

Do you prefer a male or female puppy? *

Please describe any physical attributes that are of particular importance to you in the puppy/dog you are seeking at this time? *

Are you prepared to spay/neuter your dog? Are you willing to wait until the dog is fully mature at 2 years in order to spay or neuter? *

Are you willing to obtain the necessary health certification at 2 years of age including x-ray of hips and elbows and eye cerification? *

Are you aware of the socialization and training requirements of the Belgian Sheepdog? Are you prepared to spend time socializing and training your puppy? *

Have you ever experienced any behavior problems with past or present pets? If yes, how did you handle those problems? *

Down the road, should training or health or any other problems arise, will you discuss them openly with us? *

What particular needs/concerns/desires do you have? What do you expect from us as your puppy’s breeder? *

Please add any addition information or thoughts that you feel would help me to understand you as potential Belgian owner and the home you can offer the dog. What questions do tou have for me? *

If you have a veterinarian, please provide contact information below. Name, Address, Phone, E-mail, Relationship to you. *

Please include two dog or training-related references, with phone numbes and email. Please note in what context you know these individuals (one is your trainer, one a friend you go to class or trials with, etc.) name, address, phone, e-mail, relationship to you. *

By signing this questionnaire, I affirm that all statements made above are true to the best of my knowledge. I will require a signed copy before placing a puppy. Please sign/type your name below. *

1 + 3 = ? Please prove that you are human by solving the equation *