Your Name(s):  

Home 
Address:

email:

Home
Phone: 

Work
Phone:

Work
Address: 

Residence:

 Own:         Rent:
Length of time at current address: 

Number of adults in home:

Who will care for the puppy during the day?

Ages of children at home:

None at home: 




Dogs currently in home:

No Dogs: 

Breed Age Sex Spayed/Neutered
Male   
Female 		Yes
No 
Male   
Female 		Yes
No 
Male   
Female 		Yes
No 
Male   
Female 		Yes
No 

Other pets in Home:

None: 

What dogs have you previously owned and for how long?

None: 

Why are you interested in a Ridgeback?

How did you hear about us?

What do you like about Rhodesian Ridgebacks?

What characteristics do you NOT want in a dog?

Do you prefer a particular sex of puppy?

Are you familiar with the temperament of Rhodesian Ridgebacks?

Are you committed to caring for this dog for its entire lifetime?

Are you willing to sign a spay/neuter contract for any non-show pet?

Yes: 
No:  

Comments: 

Type / height of fencing in your yard:

Size of yard the dog will have access to:

Where will dog stay during the day?

Where will dog stay during the night?
What activities do you hope to share with this dog?
Are you interested in or planning to participate in:
Conformation/Showing? Yes:      No:
Agility? Yes:      No:
Obedience? Yes:      No:
Lure Coursing? Yes:      No:
Breeding? Yes:      No:

Other: 

Are you willing to complete a basic 6 week obedience course with the puppy? Yes: 
No: 

 

Name, Phone, Address of current Vet: None: 

Please provide two local references? One: 

Two:

Where did you hear about Arroyo Seco Rhodesian Ridgebacks?
Name:

Any comments you wish to add: