Puppy Questionnaire

If you are interested in owning a Blackwood Rottweiler, please fill out this form.

Name
Email
Address 1
Address 2
City
State
Zip
Your Age
Primary Phone:
What age dog are you interested in obtaining? Puppy Young adult Mature adult
How many adults live in your home?
How many children live in your home and what are their ages?
Do you currently have any pets? If so, please list type, sex and ages.
Is anyone home during the day? Yes No
Have you owned a Rottweiler before? Yes No
You want a Rottweiler primarily for: Companion Performance Dog Conformation
Where will the dog stay? Indoor Outdoor
What type of housing do you live in? House Apartment Trailer
Do you have a fenced in yard? Yes No No Yard
Are you willing to enroll your new dog in puppy kindergarten or obedience class? Yes No
Are you willing to feed a raw or home cooked diet for your new puppy? Yes No

We reserve the right to turn down any home not deemed suitable for our puppies.
We would like to thank you for taking a moment to fill out this questionnaire.