Mojave Doberman Application
Alison Merrick ~ ~ 780-915-7796
Please fill out completely and return via e mail.

Name:

Address:

Phone: Home: Work: Cell:

Email:

Do you: Own? Rent? How long at present address?

Are you planning a move in the near future? If so, when?

Are there any bylaws, covenants, or other restrictions on dogs where you live?

If yes, please explain:

Are you aware there may be homeowner insurance issues when owning a Doberman?
Employer: How long? Phone:

Which best describes you: Single: Married: Long-term relationship:

Number of adults in the home? Number of children?
Ages of children:

Does anyone in your household have pet allergies? Who?

Please list all other animals you currently have in your household:

Have you owned a Doberman previously? Other dog breeds?

How long did you have your previous dogs? Were they spayed or neutered?

Did your previous dogs live their entire life with you? If not, please explain:

Please tell us about your canine experiences in general:

What is your reason for getting a Doberman?

Any color preference? Gender preference?

Do you have a specific reason for your gender preference? If so, please explain:

Do you have an established veterinarian? If so, please include name, phone and address:

All Mojave Dobermans sold as companions, (non show) are required to be spayed or neutered and aresold on a limited (non breeding) registration. Are you agreeable to this?

Any particular personality traits you are looking for?

What activities do you want to do? (Please check all that apply)

Conformation shows Rally Agility Obedience Flyball Breeding

Therapy work House Pet/Companion Companion for other pets For the children

Have you ever earned CKC or other titles on a dog? If so, describe:

Where and with whom will your Doberman spend time in the following situations?

When you’re home:

When you’re at work or away:

On vacation or out of town:

At night:

Do you use a crate? Any objections to crate training?

Do you have a fenced yard? How high is the fence? Gates with latches/locks?

Please describe your house and yard area to be used for the dog:

How do you plan to keep this Doberman exercised?

Would you be willing to allow me, or a friend of mine to visit your home?
Do you agree to return your Doberman to Alison MerrickMojave Dobermans, should any circumstance arisethat mean you are unable to keep the dog?

Do you agree to keep in contact with the breeder throughout the life of the dog?

Thank you for completing this information sheet. It is important to get to know you in order to makethe best possible placement for our Dobermans. Once your information is verified and there arepuppies available you will be sent a deposit agreement. If we do not have any litters available or youare not quite ready for a dog, we will gladly put you on our waiting list and notify you when future litters and/or adults become available.