Your Name



How old are you, and what is your occupation?



Your City, State - Please note, we are in New Jersey and do not ship
puppies.



Please give the names, ages, and relationships of all the human members of
your household.


Please give the ages, sex, breed, and species of any other pets that live
with you..



Your E-Mail Address



Phone Number



Are you interested in a pet or show dog?



Are you interested in doing agility and/or obedience with your dog?



 Any puppy sold as a pet will be sold on AKC Limited Registration and
spay/neuter agreements. Do you have any problem with this?



Note: Any puppy sold as a Show Potential will be sold with a co-ownership
agreement.  Do you have any problem with this?



Have you spoken with any other Bull Terrier breeders?



Are you aware that Bull Terriers are high energy dogs that require constant
supervision and training?



Did you and your family ever play with a Bull Terrier?


Do you rent or own your residence?


What kind of residence do you live in? House, apartment, townhouse?



 Do you have a fenced yard?  If yes, of what is the fence made?  Please
note, we will not place a dog in a home with electric shock fencing,
commonly called "invisible" fencing.


Why do you want a Bull Terrier?


Is there someone home during the day, or what arrangement there would be to
"potty" this puppy in the daytime?


Where will the puppy spend the day?


Where will the puppy sleep?


Are you familiar with "pure positive" dog training?


Are you willing to attend positive dog training classes with your puppy?
Clickers and food will be used, but no choke or pinch collars, and no
corrections, physical or verbal. :

What other pets you had before, and what happened to them?


Who will have primary responsibility for the care of this puppy? Is your
spouse or partner agreeable to having Bull Terrier in the house?

Please give us the name and phone number of your vet (or one that has worked
with you in the past):



Have you ever given-up a dog to a shelter or pound? If so, why?

Are you willing to feed a natural, raw, diet of human grade food (chicken
necks and organs, ground venison/beef/lamb, ground vegetables, etc)?

Puppy application/questionnaire

Please copy and paste this form into an email or Word document and return it to me at Madcapbt@ptd.net.  It will let me get to know you better and see if I have an appropriate puppy for you that will match your lifestyle and family.  Please feel free to ask as many questions as you like!