LOVE KENNELS
BRITTANYS-BRIARDS-BULLDOGS
Marcia A. (Staci) Pearson
724-775-8692
lovestaci@comcast.net
All pets are sold with a limited registration, which means: the dog can not be bred or shown in conformation. The dog will be neutered or spayed.
Purchaser Questionnaire
Anyone interested in purchasing a dog (puppy or adult), from us must fill out this questionnaire.
Name: ______________________________________________
Address:_____________________________________________
____________________________________________________
Phone: ______________________________________________
Email: ______________________________________________
Date: _______________________________________________
1) Breed you are interested in: __________________________________________________________
2) Why are you interested in this breed? ___________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
3) Sex of dog you are interested in: Male Female No Preference
4) Age of dog you are interested in? _______________________________________________________
5) Have you owned this breed before? _____________________________________________________
6) Color preference: ____________________________________________________________________
7) Do you own or rent your home? _________________________________________________________
If you rent, do you have your landlord’s permission to keep this type of dog? ___________________
Landlord’s name & phone: ____________________________________________________________
___________________________________________________________________________________
8) Do you live in a house, apartment, trailer/mobile home, other (describe)?________________________
___________________________________________________________________________________
9) How long have you been at this address? __________________________________________________
10) What is the makeup of your household?
Number of Adults:____________________________________________________________________
Number of Children and ages:__________________________________________________________
11) Do you own other animals?
Dog’s #:____________________________________________________________________________
Cat’s #:_____________________________________________________________________________
Other:______________________________________________________________________________
12) Do you have a fenced yard? _____________ Height: Type: __________________________________
____________________________________________________________________________________
13) If you do not have a fenced yard or a kennel, how will you handle the dogs,
exercise and toilet duties? ______________________________________________________________
14) How many dogs have you owned in the past 5 years? ________________________________________
15) Give breed(s) and if you still own: _______________________________________________________
____________________________________________________________________________________
16) If you no longer own, what happened to the dog(s)? (Be specific) ______________________________
____________________________________________________________________________________
17) List ALL plans for this dog?
Pet, breeding, show conformation, obedience (Competition or Basic), Agility, Hunting, Frisbee, Fly Ball,
Other (describe)_________________________________________________________________________ _____________________________________________________________________________________
18) Where will the dog spend the day?
Loose indoors, crate, garage, basement, fenced yard, kennel run, loose outdoors, other (describe):
___________________________________________________________________________________
___________________________________________________________________________________
19) Where will the dog spend the night?
Loose indoors, crate, garage, basement, fenced yard, kennel run, loose outdoors, other (describe): __________________________________________________________________________________ __________________________________________________________________________________
20) How many hours will dog spend alone, in an average day? __________________________________
21) Would you be willing to let us visit your home by appointment?
If not, why? ________________________________________________________________________
__________________________________________________________________________________
22) Are you over 18 years old? If you are under 18, do you have your parent’s
permission and support in getting this dog?
23) Parent’s name and phone number:______________________________________________________
___________________________________________________________________________________
24) Do you understand that ALL of our dogs are sold on contract and limitations?
___________________________________________________________________________________
25) Please give the name and phone # of at least two personal reference:
___________________________________________________________________________________
___________________________________________________________________________________
Sign: __________________________________________________ Date:________________