BELLACANE DOBERMANS PUPPY APPLICATION
Please fill out the online form below.
Alternatively you can download the PDF file by clicking on the PDF logo to the left.
Then fill out the form, save it and email it to:
How did you hear about BellaCane Dobermans?
What is the best time and phone number to reach you?
In a long-term relationship
How many adults live in your home?
How many children live in your home or visit often and what are their ages?
What experience have the children had with dogs?
Does anyone in your home have pet allergies?
If yes, please explain:
What type of home do you live in?
If Other please specify:
If renting, please your Landlords information:
Landlords Phone Number:
Are there any bylaws, covenants, or other restrictions on dogs where you live?
If Yes please explain:
Does your homeowner or renter insurance company have any restrictions concerning owning a Doberman?
How long have you lived at the current address?
If less than 1 year, where did you live before, and for how long?
Are you planning a move in the near future?
If Yes when and where to?
Are you or your spouse active duty military?
If Other please explain:
Please provide your Employers infomation:
Employers Phone Number:
How long have you been employed there?
Please provide the Names and Phone Numbers of three non-relative adults who do not reside in the same household as you:
If you have an established Veterinarian, please list name and phone number:
Have you ever owned a Doberman before?
If Yes, please give details:
Have you ever owned a dog other than a Doberman?
If Yes, please give details:
Did your previous dog(s) live their entire life with you?
If No, please explain:
Please list all animals (Species, Breed, Gender and Age) currently living in your home or you anticipate having in your home:
Why do you want to purchase a Doberman?
What color do you prefer?
What gender do you prefer and why?
Are you looking for any specific personality traits?
If Yes, which ones and why?
Are you planning on participating in any activities with your dogs?
(please indicate any that apply)
Companion for other Pets
Companion for Children
Have you ever earned AKC or other titles on a dog?
If Yes, please explain:
Where and with whom will your Doberman be in the following situations?
When you are at home:
When you are at work:
When you are out of town on vacation:
Who will be the primary caregiver?
Do you own a crate?
Do you have any objections to crate training?
Do you have a fenced yard?
If Yes, do the gates have locks or latches?
If Yes, please describe:
Please describe your home and yard area to be used for the dog:
How do you plan to provide your Doberman with exercise?
Would you be willing to allow us to visit your home or if you are out of the area, someone we know do a home visit?
Any BellaCane Dobermans sold as “Pet or Companion Quality” are sold on a limited registration (non-breeding) and are required to be spayed/or neutered after a specified age agreed upon by breeder/owner. Are you agreeable to this?
Do you agree to return your Doberman to us in the event that you are unable to keep the dog for any reason?
Do you agree to keep in contact with us, Tommy and Melinda Moyer, throughout the life of the dog?