POTENTIAL FAMILY APPLICATION & QUESTIONNAIRE

While we understand the application may seem lengthy it should take about 10 mins to complete, Please take the time to answer every question in detail and with complete honesty. This enables us to better serve your needs, see if a mastiff is suitable for your home and match you with the correct puppy for your home.

Information is never given or sold to a third party and is strictly confidential. We are committed to protect your privacy. If you feel uncomfortable supplying any of this information to us on this online application, feel free to contact us at  419-496-6535 or contact us to snail mail you an application.

YOUR CONTACT INFORMATION

Name       

Address   

City             State   Zip

Email       

Home  Number    Alt  Number Cell Work 

Best time to call

You will be required to complete a phone interview. Please state a time that is best for you to chat freely.

at which number

ABOUT YOUR FAMILY AND HOME

***(PLEASE MAKE A SELECTION FOR EACH)***

Are you Please choosemarriedLive Insingledivorcedseperated   Your Age Group

 How many people are in your home ? Men  over 18  012345MORE THEN 5  Ladies over 18  012345MORE THEN 5

children  012345MORE THEN 5  What are you ages of children?

Have your children been around animals on a regular basis?YES   NO

Have your children been around puppies on a regular basis?YES   NO

Do you have children from a separation or divorce that visit ?   YES   NO

If yes, Are the used to being around animals in the other parties home ?  YES   NO

Are you aware that small children can cause sever injury to a puppy by simple play and wrong handling?YES   NO

Would allow your children to pick puppies up ?YES   NO

Would you leave your child and a puppy unattended in a room even for a short time?YES   NO

If you do not have children at this time, Do you plan children ? YES   NO 

What time frame in life are you thinking of starting a family Please Choosefamily startingWithin 1 yrbetween 1-2 yrsbetween 2-3 yrsbetween 3-4 yrs4 yrs or more

Your type of residence is Please Chooseapartmentcondotownhousesingle familymulti family Do you Please ChooseRentOwnLive with relativesLand Contract Location Please ChooseCityInner CityCountry

Do you have a fenced yardYES   NO

If yes what type of fencing

Is anyone in your household allergic or has shown allergies to Dogs or other animals ? YES   NO 

Have they had symptoms of or diagnosed with allergies such as Dust, YES   NO

If yes, Please give a brief description

MASTIFF KNOWLEDGE

How were you first introduced to the Mastiff ?

Do you Own Any Mastiffs At this time YES   NO  If Yes, how many Please Choose12345678910OVER 10

Please list your current Mastiff Dogs. Breed Age and Sex

,

How many are spayed / neutered ?

Have you Ever owned a Mastiff In the past? YES   NO 

If yes please tell us  where your dog/puppy is now ?

If No, Have you ever spent any amount of time with a full grown Mastiff  ?YES   NO  

Please give a brief description of your time with the breed

 What Research have you done on the mastiff Breed ?

OTHER PET INFORMATION

 What other pets do you own. Please list breed and sex.

How many are spayed / neutered ?

If You have previously owned any animal and do not own them now. Please explain what happened to your past pets

What is the longest time you ever owned a pet ?

Have you ever bred any other animalYES   NO

If Yes Please explain

Have you raised a puppy from puppy hood to adult hood ? YES   NO

If NO, what happened to the puppy ?

WHAT TYPE OF FAMILY MEMBER ARE YOU LOOKING FOR

When do you plan on purchasing your new puppy ? Please ChooseI am ready NOWWithin 1-3  monthsWithin 4-6 monthsWithin 7-9 monthsWithin 10-12 monthsOver a year from nowNot Sure

Are you looking for a Mastiff strictly as a pet and family companionYES   NO

Are you looking for a Mastiff as a show dogYES   NO

Do you plan on showingYES   NO

Have you ever shownYES   NO

Please explain your show experience

Are you looking for a Mastiff as a breeding dogYES   NO

Do you plan on breeding this MastiffYES   NO

***(PLEASE MAKE A SELECTION) FOR EACH***

What Sex of puppy: Primary Choice Please ChooseFEMALEMALEBOTHSecondary Choice Please ChooseFEMALEMALEBOTHNONE

Color preference: Primary Choice Please ChooseFAWNAPRICOTBRINDLEREVERSE BRINDLENONESecondary ChoicePlease ChooseFAWNAPRICOTBRINDLEREVERSE BRINDLENONE

We on occasion may end up with  a "slow grower or a runt"

Would you be interested in one of these pet quality types .YES   NO

Litter Due Date or name of puppy  from our website of interest

YOUR HOME PLANS FOR THE NEW PUPPY

Who would be the puppies primary care taker

How will you get your new puppy home  Please ChooseDriving To Pick Puppy UpFlying Puppy To MeOther transport

How many hours each day would your puppy spend alone

Where would the puppy be kept in the day

Where would the puppy be kept in the night

Would you be using cabling or chaining a dog when outsideYES   NO

Do you believe in putting a dog in a dog house to live outsideYES   NO

Are you aware of any Mastiff laws in you state/city/countyYES   NO

What are the laws of Mastiff breed containment in your State/city or county ?

What is the law's punishment for non compliance of the laws should you be found in violation ?

******you must give exact details*****  If you do not know, Please call your city or county

ARE YOU PREPARED ?

Our puppies range from bottom price of $1500.00 and up to $2500.00. Are you prepared to make the financial commitment of purchasing a puppy at this time ? YES   NO

Upon Application approval we require a$500.00 Deposit to be placed to secure your puppy. Are you prepared and able to place your deposit at this time ?YES   NO

If no. What is you estimated time frame of availability

Mastiffs are very costly animals. Everything is more expensive then a standard size. Vetting is very expensive. Most services are performed by the weight of the animal. Are you prepared to take the financial reasonability of this size of an animal.YES   NO

Does your vet have experience with mastiffs ?YES   NO

If NO, are you willing to find a vet familiar with the breed ?YES   NO

Name Address and phone number of current and past vets

***Please call your vet to let them know we will be calling for a reference, If you have used more then 1 vet, please list each vet in it's own line.****

What name is your file under at your vets office ?

If your application should miss the cut off for reservation. Please ChoosePlace me on your list for next litterReffer me to another breederRefund My Deposit

Whom were you referred by or how did you come to our site ?

Do you acknowledge that you may only acquire one of our Mastiffs as a family companion/show dog, this animal is never to be housed outdoors and must live inside as a family member ?YES   NO

ANY QUESTIONS ,COMMENTS OR CONCERNS YOU MAY HAVE

By submitting this form I understand it does not approve, place or guarantee  me to be on the purchase list. I fully understand my home must be approved to purchase a puppy. I further guarantee that my only intent for this puppy  is, as an indoor family member and or Show Dog.. I will never and have never engaged in any illegal purpose i.e. the fighting of or baiting of this breed, guard or attack dog or any other breed as well. I understand this will serve the same as my signature and is valid under law. Should I be found in violation of falsifying information. I may face charges and or damages deemed by the courts or the laws of Ohio.

Please type your name, This will serve as your electronic signature