Litters

E-mail Address: *

Name *

Street Address *

City/State/Zip Code *

Home Phone

Work Phone

Cell Phone *

Best time to call you if we need to reach you *

Why are you interested in obtaining a dog from Von Mitternadt Rottweilers *

You are interested in a *

Male
Female
Puppy
Adult
Older dog

Structure/Size preference *

Reason you want to one of our dogs

What qualities do you expect in this breed *

What qualities do you want in this breed

Is this you first time with this breed *

Yes
No

Why do you want to own a Rottweiler *

Tell us about any previously owned dogs you may have had

Any animals present at home now *

Have you reviewed our Contract *

Yes
No

Do yo understand the spay/neuter agreement *

Yes
No

Are you committed to caring for this dog for its lifetime *

Yes
No

Do you have a training facility in your area *

Yes
No

If you are considering breeding, do you understand our policy *

Yes
No

Can you contact us prior to breeding for information that might benefit the offspring of this Rottweiler *

Yes
No

Von Mitternadt Rottweilers reserves the right to do a check on any placement homes for our puppies at a time that is mutually agreed upon, if the home is in question before or after a placement has been made. Please keep us informed if anything on this application should change. Do you agree with these terms *

Yes
No

FAMILY DATA QUESTIONS

Are you *

Married
Single

Do you have children *

Yes
No

How many children

Ages

Others in the household that will have contact with your dog

Who wil be responsible for this dog *

Where will the dog stay during the day *

Where will the dog stay during the night *

You live in a *

House
Apartment
Other

Have you read information about Rottweilers, there care, training and understand the responsibility *

Yes
No

Do you have all the equipment, a proper crate and other materials for your dog *

Yes
No

What will you be feeding your dog as their diet *

Have you checked into Breed/Training clubs in your area *

Yes
No

Where and with whom *

Any additional information you would like to supply to us to make our decision *

* Required Free Contact Form

If interested in a puppy you MUST fill out our puppy questionnaire below!

                                 Serious inquiries only!!
                  for more information: lockner99@yahoo.com

                                    **NEW BREEDING ANNOUNCEMENT!!**

                           *IRIS HAS BEEN BRED TO GUS*

                 PREGNANCY CONFIRMED VIA ULTRASOUND

STANHILL'S I-RISH WHISKEY KISSES X GUS VON CHAVIS