ARMORED ROSE BEAUCERONS
"A name synonymous with quality Beaucerons!"
Type, Temperament & Soundness
for those discriminating few
who demand excellence.

 

 

PUPPY APPLICATION



Name:­­­­­­­­­­­­___________________________________________________________________________________________
Spouse:__________________________________________________________________________________________
Street Address:_____________________________________________________________________________________
City:_____________________________________________State:___________________Zip Code:___________________
Home Phone:______________________Cell Phone:______________________Email:_______________________________
Employer:_________________________________________Occupation:________________________________________
How long at your present job?___________________________________________________________________________

Name and relationship to applicant of all other adults in the home:
1.)______________________________________________________________________________________________
2.)_____________________________________________________________________________________________
3.)_____________________________________________________________________________________________ 4.)_____________________________________________________________________________________________


Number and ages of children in the home:
1.)______________________________________________________________________________________________
2.)_____________________________________________________________________________________________
3.)_____________________________________________________________________________________________
4.)_____________________________________________________________________________________________

VETERINARY REFERENCE:
Name of Veterinary Hospital:____________________________________________________________________________
Name of Veterinarian:_________________________________________________________________________________
Veterinary phone number:______________________________________________________________________________
Note: If you currently own a pet or have owned one in the last 10 years, your vet's name is required to process your application. If you cannot supply a vet reference, please give the reason why.

PERSONAL REFERENCES:
Those who are familiar with your experience as a pet owner. NO family members please.
Full name:____________________________Relationship:_______________________Phone  number:___________________
Full name:____________________________Relationship:_______________________Phone number:___________________

Full name:____________________________Relationship:_______________________Phone number:___________________


HOME INFORMATION:
Do you live in a house, appartment, condominium, trailer park, other:___________________________________________________
How long have you lived at this address?______________________Do you own or rent?_________________________________
NOTE: If renting, you will need to provide a copy of your lease/co-op bylaws before acquiring a puppy. If you live in a condominium/co-op, or your house is a part of a homeowner’s association, prior to acquiring your puppy, you will need to provide a copy of the bylaws, rules and regulations of such association stating that there are no restrictions regarding owning a dog. If there is a limit on the number of pets you are allowed, please note the limit on the copy of the bylaws.
Do you have a fenced yard?__________If yes, please describe:_____________________________________________________
_______________________________________________________________________________________________
Do you have a separate kennel run?__________If yes, please describe:________________________________________________
_______________________________________________________________________________________________
If you have children, what type of exposure or experience have your children had to dogs and to what breeds?________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Who will be the primary caretaker for this dog?_________________________________________________________________
Are there regular visitors to your home (human or animal) with which your new dog must get along?__________If yes, please describe:
_______________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Are all family members in agreement about adding a Beauceron to your family?____________________________________________
Does anyone in your household have allergies to dogs? If yes, please describe:_____________________________________________
______________________________________________________________________________________________________________________________________________________________________________________________
Do you own cats? If yes, how many:_____Are they spayed/neutered?_____Do they live in the house?_____Are there any other animals in the home?_____How many dogs have you owned in the last ten years?_____
For all dogs you presently own, give name, age, sex, breed and if spayed/neutered:
1.)______________________________________________________________________________________________
2.)_____________________________________________________________________________________________
3.)_____________________________________________________________________________________________
4.)_____________________________________________________________________________________________
Give name, age, sex, breed, if spayed/neutered, and what happened to all dogs that you have owned in the past 10 years, but no longer have, listing the years you owned them:
1.)______________________________________________________________________________________________
2.)_____________________________________________________________________________________________
3.)_____________________________________________________________________________________________
4.)_____________________________________________________________________________________________
List all pets owned in the past 10 years other than those listed above:
1.)______________________________________________________________________________________________
2.)_____________________________________________________________________________________________ 3.)_____________________________________________________________________________________________
4.)_____________________________________________________________________________________________
Have you ever taken a dog for training classes? If so, what type (obedience, agility, conformation, etc.), and did you complete the classes:_______

_______________________________________________________________________________________________
How do you plan to train your new dog?_____________________________________________________________________
Why do you want a Beauceron?___________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Have you ever owned a Beauceron?________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Is there anything about the breed that might be an issue for you?_____________________________________________________
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
List all plans for this dog (i.e. Pet; Show; Guard Dog; Hunting; Obedience; Herding, Sport, Agility)__________________________________
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
How do you plan to exercise your dog?______________________________________________________________________
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Where will the dog spend the day? Loose indoors______Crated______Basement_____Garage_____Fenced Yard______Kennel________
Where will the dog spend the night? Loose indoors_____Crated______Basement_____Garage_____Fenced Yard______Kennel________
On average, how many hours a day will the dog spend without human company?___________

PREFERENCES
Which sex do you prefer? Male______________________Female______________________No Preference__________________
Color Preference:   Black & Tan______________________Harlequin____________________No Preference__________________

Do you understand that any puppies placed as pets are required to be spayed or neutered? Yes_____No_____Do you agree to license this dog and provide it with regular health care, understanding that these basic costs of healthcare and food can average $750.00 to $1500.00 annually? Yes_____No_____Do you agree to contact Armored Rose Beaucerons if you can no longer keep this dog? Yes_____No_____ Would you be willing to allow someone designated by Armored Rose Beaucerons to visit your home by appointment? Yes_____No_____How did you hear about our Beaucerons? (Website, Facebook, Search engine, Petfinder, Friend, Other rescue, Other - explain)__________________________

_______________________________________________________________________________________________

______________________________________________________________________________________________________________________________________________________________________________________________
What was it that made you want to consider an Armored Rose Beauceron? _______________________________________________
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
In situations where there is a great distance involved and we are unable to visit your home in person, may we forward your information to one of our Beauceron friends that may be in your area to perform a home check on our behalf? Yes______No_____ Are you currently over 21 years of age: Yes____No_____ Please provide any other information you feel would be helpful to us in screening your application:_______________
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Puppy Application

This puppy application is designed to give me a global picture of the type of home you would provide for your puppy. It also allows me insight to any possible potential problems while at the same time brings to light some serious points that may not have been considered otherwise.

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