Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Preferred Gender

Male

Female

Either

Have you ever owned a Doberman Pinscher? *

Yes

No

Have you ever owned a Trinity Doberman? *

Yes

No

Do you have experience posting cropped ears? *

Yes

No

Are you willing to commit to the necessary obedience classes and training required to obtain AKC S.T.A.R. Puppy and CGC Certification? *

Yes

No

Do you own your own home (renters and/or gated community residents will require authorization to own a Doberman)? *

Yes

No

Do you have a fenced yard? *

Yes

No

Your Doberman puppy will have begun crate training by Fidelis Dobermans. Do you intend to continue crate training? Dobermans love their "house" *

Yes

No

Personal Reference *

First Name

Last Name

Personal Reference Phone *

(###)

###

####

Personal Reference *

First Name

Last Name

Personal Reference Phone *

(###)

###

####

Primary Veterinarian *

First Name

Last Name

Primary Veterinarian Phone *

(###)

###

####