Name, address, phone number

E-mail address

How did you hear about Kansa Dobermans?

Why do you want a Doberman?

Do you have a fenced yard, and will the dog spend most of the time in the house our outside?

What is your background in dogs in general and Dobermans in particular?

Do you presently own any other dogs or cats? What kind and what sex?

How many people are in your household? Please include sex and ages

Are you seeking a show or performance dog; or a family companion dog?

Show Dog
Performance Dog
Family Pet

What is your 1st and 2nd choice for the color and sex of the Doberman you desire?

Are you flexible as to this choice?

Are you interested in a small puppy, older puppy, or young adult? There are times when we have wonderful older puppies or young adults that were kept for show prospects, but for various reasons may now be available for family pets. If they are older they will be well socialized, fully or partially housebroken, and ears cropped and partially or fully standing depending on age.

Have you had any experience training or showing a dog?

Are you a member of any dog club or organization? If yes, please list.

What would your training/showing goals be with your Kansa Doberman, if any?

Do you intend to breed your dog?

Yes No

Have you had any experience taping cropped ears?

Are you willing to wait for a puppy if the perfect puppy is not available right now?

Describe the "Ideal" dog for your needs.