1. Please provide the following contact information:

   Name
   Title
   Organization
   Street Address
   Address (cont.)
   City
   State/Province
   Zip/Postal Code
   Country
   Work Phone
   Home Phone
   FAX
   E-mail
   URL

    

2.  What is Your Gender Preference?  
   
     Male        Female
    

3.  What is your preference for the end-use of this dog?
   
     Companion Dog        Show/Breeding
    

4. Have you had a Rhodesian Ridgeback before?

             Yes         No
       
              If Yes, what is your knowledge of the breed?
              

   5.   If you have owned a Rhodesian Ridgeback before, how would you 
            describe your association with this dog?

          Companion Dog     Show/Breed
          Obtained as puppy         Obtained as adult dog

    6.   If you did NOT own a Rhodesian Ridgeback before, have you had a close 
             association with one (friend, family)?
          Yes        No        Companion Dog        Show/Breed
             Can you provide some interesting anecdotes about this association
                

   7.   What size and type of home do you have?
               

    8.   Do you own or lease your home?
            Own          Lease

     9.   Does your home have a fenced yard?  If so, please describe the size and how secure.
                

   10.   If your yard is small, what options do you have to exercise a big dog?
                

   11.   Do you have precious objects of art or collectables in your home and have you
               considered precautions for such items during this dog's puppy stage?
            Yes       No

  12.   Do you intend for this dog to be primarily an
             Indoor dog        Outdoor dog

  13.    If all family members will be at work or school during the day, have you thought of
                provisions for the care and feeding of a young puppy until it can stay 6 to 8 hours
                by itself without need of food or relief for eliminations?
            Yes      No

  14.    Do you understand how to crate train and do you believe in the use of a crate for
                containment and training?
            Yes      No

  15.    Do you have other pets in the household?
            Yes      No
                If yes, please describe.
               

  16.    Do you have an established relationship with a veterinarian or have you researched
               the availability and reputation of ones in your area?
            Yes      No

  17.    If you are interested in a companion dog, do you understand and are you willing to
                abide with the requirements of Limited Registration and Spay/Neuter clause
                in our contract?
                             (Click here to review the Limited Registration Contract)
            Yes      No

  18.     If you indicated a show quality dog, do you have experience and knowledge in the
                 Conformation Show Ring?
            Yes      No      Not Applicable
 
  19.    Is it your intention to show this dog yourself or hire a handler
            Self Show      Hire a Handler

  20.     What is your primary purpose for wanting a show quality dog?
         

  21.     Do you intent to use this dog for breeding?
            Yes      No

  22.     If you do use this dog for breeding are you prepared to assume the responsibility of
                   a stud dog owner for the puppies that your dog will produce?
            Yes      No      Not Applicable

  23.    The range of the initial purchase price for our puppies will fall between $1000 to $1500.
                   Do you understand that this is only a fraction of what it will cost to care for and
                   maintain a dog of this size and nature for its lifetime?
            Yes      No

  24.     If something catastrophic happens to your pet, what lengths or you willing to go to ensure its
                   Care, Comfort, and Convalescence?
                  
                  

  25.     What are your expectations of us as breeders and the guarantees you expect us to provide? 
                   Please be very specific and let us know exactly what you want this dog to be able to do.
                  

When you have filled in this form, please copy and paste to an e-mail to

Lou_Ward@julou.us