ANDERS BOUVIERS APPLICATION 

IMPORTANT: If an item doesn't apply to you, please enter "n/a".  

Your Name: 

Date: 

Email:

Phone: 

Address: 

City:   State: Zip: 

Your residence: Own Rent

How long at this address: 

OK to schedule in-home check? Yes No

List ALL household "human" members:

Who in the household wants a dog?

Hours per day dog will be left alone?

Specific Dog you have interest in? 

Will you attend dog obedience classes? Yes No

Where will your dog be during the day?

And during the Night?

Dog-related expenses you expect to incur:

Who will be primarily responsible for feeding, grooming, maintaining and exercising the dog?

Your opinion on crate training:

Have you ever owned a Bouvier? Yes No

Do you know how to groom a Bouvier? Yes No

Willing to learn how to groom? Yes No

Aware of professional grooming expense? Yes No

Do you have a Dog Run? Yes No

Do you have a Fenced Yard? Yes No

Fence Height Gate Height

List ALL CURRENT ANIMALS in household, if neutered or intact, and a brief description of their personalities

YOUR VETERINARIAN

Phone

LIST 2 OR 3 OTHER REFERENCES, such as neighbors or people you do business with, give name and telephone number where we can reach them:

Describe the temperament of the perfect dog for you and your family:

How did you hear about us?

Preferred sex of dog MALE FEMALE EITHER

Why?

Please review your answers carefully and make any necessary changes. Then press the submit button to process your questionnaire