Malinois Application

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Do you text? Used for updates and information once puppies are born. *

Preferred Contact Method for Emergencies/Questions *

Address *

Line 1

Line 2

City

State

Zip Code

Country

If not a US resident please provide your legal mailing address below: *

What type of housing do you live in? *

What is your age? *

Less than 18 19-69 Over 70 Prefer not to say

Tell a little about yourself! *

Are You Employed? *

Who is the dog for? *

We have a firm nonrefundable policy. All deposits, payments and purchases are non-refundable. Any reimbursement offered would be at the breeder's discretion and a strict case by case situation. *

We will happily assign puppies to their families based off the answers you provide in this questionnaire that fit your lifestyle. We take into consideration the color, sex and general purpose the pet will serve when assigning puppies. You may select your own puppy.* *

Have you ever owned this breed? *

Why are you looking for a dog? *

If no, please explain any past dog experience and your interest in this breed. *

What do you know about the breed, its temperament, its behavior, and its health? *

What age are you looking for?* *

What sex are you wanting? *

What color are you looking for? *

Do you want dew claws removed? *

How do you plan on exercising your Malinois? *

How do you plan to keep your Malinois mentally and emotionally stimulated and engaged? *

How do you plan to socialize your puppy? *

What is socialization to you? *

How do you plan to train your puppy? Select all that apply; *

Obedience classes with a accredited, certified dog trainer Obedience classes through Petsmart, PetCo, or other group classes Train the puppy myself Send the puppy away to a boarding school, doggie bootcamp, or to a private trainer

Do you have children or will children frequently visit you/the dog? *

Are you looking for a service canine temperament? Service prospects are assigned to their family by the breeder and temperament cannot be guaranteed due to several outside factors. *

Will your dog free-roam? Select all that apply: *

No Yes, in my open, unfenced yard Yes, under supervision only Yes, when I am working or away from home Yes, at dog parks/parks Yes, only when I am home but may be unsupervised Yes, with a GPS collar or device

Where will your pet stay during the day? *

Where will your pet be at night or when you're gone? *

What does free-roam mean to you? *

Do you plan on crate training? *

If not crate training, why not? *

What are your thoughts on core series vaccination and annual revaccinations? *

Vet Information *

Dog Trainer's Information: *

We offer a 2 yr limited health guarantee and a lifetime congenital/genetic guarantee (for conditions leading to loss of life or insufficient quality of life). The health guarantee is nonnegotiable. *

Returned puppies/dogs are nonrefundable. This is nonneogtiable. *

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