Online Puppy Application

PLEASE NOTE IF YOU DO NOT RECEIVE FEEDBACK FROM US WITHIN 48 HOURS OF SUBMITTING THIS FORM , WE DID NOT RECEIVE IT AND YOU WOULD NEED TO CONTACT US DIRECTLY AT corzanerotties@gmail.com

Please be completely honest when filling out this form. This is not to disqualify you from owning a Rottie but rather to make sure the puppy is right for you so that he/she does not end up at a shelter when he or she is grown up. If there are any problems or concerns about your answers we will discuss them with you and give you advice. This is in the best interest of you and your puppy. Please remember a puppy is a long term commitment.

KINDLY NOTE THAT ONCE YOUR PUPPY APPLICATION IS APPROVED WE WILL REQUIRE A DEPOSIT OF N$1,000.00 TO CONFIRM YOUR BOOKING. THIS DEPOSIT WILL BE REFUNDED IF WE CAN NOT GIVE YOU A PUPPY WITHIN 12 MONTHS OF PAYMENT BUT WILL NOT BE REFUNDED SHOULD YOU CANCEL FROM YOUR SIDE.

* Indicates required field

Name *

First

Last

Cellphone Number *

Email *

PHYSICAL ADDRESS *

HAVE YOU EVER OWNED A ROTTWEILER BEFORE? *

YES NO

I WOULD LIKE A *

MY YARD IS.... *

SMALL MEDIUM LARGE

HOW HIGH IS THE ENCLOSURE? *

IF YOU HAVE ANY CHILDREN, PLEASE LIST THEIR AGES BELOW *

IF YOU HAVE ANY OTHER PETS PLEASE LIST THEIR BREED, GENDER AND AGES BELOW *

HOW MANY HOURS DO YOU SPEND AT HOME PER DAY? *

WILL THERE BE SOMEONE AT THE HOUSE WHEN YOU ARE NOT THERE? *

YES NO

THE PUPPY WILL BE KEPT *

INSIDE OUTSIDE BOTH INSIDE AND OUTSIDE

HOW MUCH DO YOU THINK A PUPPY WOULD COST YOU PER MONTH AND HOW MUCH CAN YOU AFFORD TO SPEND ON YOUR PUPPY PER MONTH? *

HOW MANY HOURS OF EXERCISE DO YOU THINK A DOG NEEDS PER WEEK? (REMEMBER EXERCISE CAN BE EITHER PLAYING CATCH WITH A BALL, TAKING HIM FOR A WALK, TAKING HIM SWIMMING ETC) *

HOW MANY HOURS OF EXERCISE DO YOU PLAN ON GIVING HIM PER WEEK? *

DO YOU HAVE ACCESS TO A DOG CLUB OR DOG TRAINING FACILITY? *

YES NO

WOULD YOU BE WILLING TO TAKE YOUR PUP FOR SOCIALIZATION AND TRAINING? *

YES NO

DO YOU UNDERSTAND THAT A DOG IS A LONG TERM COMMITMENT? *

YES NO

DO YOU HAVE A VET AND IF YES MAY WE CONTACT HIM/HER TO VERIFY THAT YOU WOULD BE A SUITABLE OWNER? IF YES PLEASE PROVIDE VET'S NAME, PRACTICE NAME AND TELLEPHONE NUMBER OF YOUR VET *

HAVE YOU READ THROUGH OUR TERMS AND CONDITIONS IN THE PUPPY CONTRACT? *

YES NO

DO YOU AGREE WITH OUR TERMS AND CONDITIONS SET OUT IN THE PUPPY CONTRACT? *

Remember the Rottweiler is a very strong and intelligent breed of dog and if treated like a wild animal it will behave as such, however if treated like a member of the family and with the necessary respect it will be the most loyal companion you can ever ask for and will give it’s life to protect yours.

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