Manzanita Rhodesian Ridgebacks
Potential Puppy Family Questionnaire
            http://www.manzanitaridgebacks.com
Thank you for your interest in our dogs.  If you are seriously interested in a puppy from this litter, please complete this questionnaire.  We would appreciate your honest and detailed responses to these questions so that we may more easily select the right puppy for you.  All information is confidential and will only be used  to select your puppy.  As you enter information, press the "TAB" Key to move around the form.  When you are finished, click the submit button at the bottom of the page.  Please feel free to email any photos or other information you desire to ridgebackhome@gmail.com    Thank you.....

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 it's 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:

Any comments you wish to add: