Please Supply the Following Information and then Select SUBMIT.

Name:                       

 Date:                        

Address:                    

City: State/Zip:         

Telephone: :  Home            

                       Office:  

                       Email:

Your Age: 

Your Occupation:

How did you find our website?:

If you are interested a litter sired by one of stud dogs (listed as such on our page - please indicate using the dams name): This will help me forward it to the correct breeder:

Preferences: 

Male         Female     Show Quality       Pet Quality

If you are looking for pet quality, would you consider a Ridgeless RR?  Yes No

or, would you consider a puppy that has had a Dermoid Sinus removed by our vet prior to purchase?  Yes No Click here for additional information regarding Dermoid Sinus 

Would you consider an older RR?  Yes No Perhaps thru Rhodesian Ridgeback Rescue? 

Have you ever owned a RR before?   

Are you interested in participating with your RR in: 

Conformation:  Obedience:   Lure Coursing:  Agility:           

If there is a significant other ...  do you both work? What hours?

Children at home?  How many? How old are the children?

 Are they educated about how to treat animals?

Do you understand that while this breed is good with children, that they are not DRAWN to children, and should never be purchased as the responsibility of children?

Who will have primary responsibility for the puppy’s care?

Do you rent an apartment?   Yes 

Do you have your landlords permission for a dog? Yes

Do you own a home? Yes  

Describe your home

Will the dog be primarily indoors or out? Outside/inside ... how many hours? 

Is the yard fenced? Yes, Fully         Yes, partially           No

What type of fence? Height?

Are all of the gates secure/locked? Yes No

Have you considered the cost of improvements necessary to have a secured yard for the puppy?

What other pets do you have? Where did you get these pets?

Please provide the name and contact information for that Veterinarian that provided care for your past pets, we may contact them as a reference.

What happened to you past pets?

Did you have any complaints associated with your past pets, (examples Poor obedience, damage)?

Early and extensive socialization is key in the development of a well balanced RR, are you and your family willing to commit to the time and effort to the early socialization of a puppy?

Rule of thumb" Minimum of 3 new people, 3 new places every week? Can you do this? Yes  

Have you considered the time it takes to properly raise a puppy? Have you investigated a puppy training class?

What other breeds have you considered? Why?

What kind of behavior do you expect from an adult RR?

Have you been made aware of the negative qualities of the breed, and do you have the understanding that this breed may not be the best choice for everyone?  Yes No

Are you considering breeding your RR? Yes No

Have you been made aware that all pet quality RR’s are sold on spay/neuter contracts and limited registration? Has the term Limited Registration been explained to you? Click here for an explanation of limited registration.

Yes No

Anything you would like to add ...