Your Full Name:
Email Address:
Your address, street, city, state/province, postal/zip code
Phone number, including area code:
Vet's name and phone number:
How Did you Find Us?
What Sex are you looking for? Male
Female
What Are you Mainly Looking For? Show
Pet
Hunting Companion
Hunting/Show

Is Your Yard Fenced In? Yes
No
If your yard is not fenced in, how will you secure puppy outside?
Do you own or rent your home? Own
Rent
Will your puppy be kept indoors or outdoors?
What purpose will one of our dogs serve in your household?
Have you previously owned an American Staffordshire Terrier or a Wire-haired Vizsla?
If yes, do you still have? or reason you no longer have?
List other breeds previously or currently owned.
List other animals (dogs, cats, etc) currently in household?
Are you planning to attend training classes with your puppy?
Have you ever taken an animal to the shelter/pound for adoption? and if so, why?
Do you belong to a kennel club or any dog related club? if so , state which ones?
Have you familiarized yourself with the characteristics of the Amstaf Terrier or Wire-haired Vizsla? Yes
No
How do you plan for the puppy to get to you ie pickup, ship?
Please provide the name, address,phone #, and email address of 2 references other than your vet:
Please provide any comments you would like us to know:

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