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Personal Information: Name Address Phone Email Drivers License # w/State  * required Please note: Providing us with your DL# allows us to run a criminal back ground check. Date of birth Marital status Married Divorced Seperated Single Widowed Occupation Spouse occupation Family: Are there other adults in the house? Yes No Do  you have children? Yes No If no, do you plan to have children soon? Yes No Do any family members have allergies to hair/dust/dander? Yes No Residence: Type of residence Single family home Townhome Farm house Mobile home Apt/condo Other Do you own or rent? Own Rent (If you rent written consent will be requird from landlord.) How many dogs can you legally have in your city? Length at current residence? Is your yard fully fenced? Yes No Describe fence/height Plans for your new puppy! Where will the Mastiff live? Inside Outside Kennel Other When the Mastiff is outside will it be: In a kennel Free to roam Tied up Are you interested in breeding your Mastiff?   Yes No Are you interested in showing your Mastiff? Yes No Are all family members in agreement about getting a Mastiff? Yes No Do all family members work outside the home? Yes No Would the Mastiff be left alone for 40 hours or more per week? Yes No Where will the Mastiff be kept when you are not home? Where will the Mastiff sleep at night? Who will care for the Mastiff on overnight trips & vacations? Current/Previous pet history: Please list your current pets: If not spayed or neutered why not? Would you be willing to have your pet/s spayed/neutered before bringing home a puppy? Yes No If your above mentioned pets have ever been bred before, please tell us what your reasons for breeding were and what your experience was. Do you have plans to breed any of your current pets? Yes No Please tell us about all of your other pets. Have you ever owned a giant breed dog before? Yes No What breed and what happened to it? If you do not own dogs now, have you owned them in the past? Yes No What kind of dogs did you own and when? What happened to your previous dogs? Ran Away Sold Given Away Stolen Given to rescue/shelter Died Euthanized Why? What do/did you like best about your pet? What do/did you like least about your dog? Aquisition: Why do you want a Mastiff? Please mark all that apply: Guard Dog Companion Watch Dog Therapy Dog Prestige Child's Friend Obedience Prospect Do you prefer? Male Female Color preference? Fawn Brindle Apricot No preference Are you familiar with the characteristics and temperament of a Mastiff?       Yes No Are you aware that a Mastiff must live inside the house and be a member of the family? Yes No Are you willing to travel to pick up your Mastiff? Yes No How many miles? What time frame are you looking to get a puppy? If a puppy is not available now are you willing to wait? Yes No What age appeals to you the most? Puppy Young adult Older dog Would you consider a rescue Mastiff? Yes No What books have you read on Mastiffs? Are you a member of any Mastiff groups or clubs? Please list: What internet sites, if any, have helped you in learning about the Mastiff breed?  Determimg which Mastiff is best for your family: Here are a series of important questions.  Answering all carefully will help us select the right Mastiff for you.   What is the least/most important to you? 1 is the most important  5 is the least important Protection  * required Show dog  * required Childs Friend  * required Companion  * required To Breed  * required Other Please List What aspects of a Mastiff are most important to you? 1 is the most important, 5 is least important Appearance  * required Agility  * required Temperament  * required Size  * required Easy care coat  * required Quiet Companion Quick Obedience  * required Friendly  * required What physical attributes are most important to you? Pigment Coat Type No White Markings Wrinkle Angulation Topline Bone Size Movement Bite What traits do you dislike the most? Drooling Snoring Shedding Barking Digging Jumping Chewing Odor If you have other dogs, how would you describe his/her temperament? Check all that apply: Dominant Mild Tempered Submissive Shy Aggressive Hyper Natural Leader Aloof Follower Friendly Easy Going Laid Back Easily Feared Family Interaction: What type of temperament would best suit your family? What is your family's activity level? Athletic Moderate Medium Low Retired What family activities do you intend to do with your Mastiff? Financial Aspects: Are you aware of the everyday costs affiliated with owning and raising a Mastiff? (food, vet care, grooming, treats, toys, crates, training, bedding, emergency care, surgical procedures, geriatric care) Yes No Are you financially prepared to own a Mastiff? Yes No How much on average do you think a Mastiff will cost you per month?  * required Are you willing to take on the financial responsibility that comes when your Mastiff is in its geriatric stage? (frequent Vet visits, blood workups, medications, etc.) Yes No What brand or type of food do you intend on feeding your Mastiff? Would you have any objections to feeding a suggested diet by the breeder? No Yes If yes, please explain: Do you have a Veterinarian who is familiar with the Mastiff breed? Yes No Would you be willing to follow a vaccination schedule different than that suggested by your Vet? Yes No If no, please explain: What type of Vehicle do you currently own to transport your Mastiff in? If you own an over-sized vehicle are you willing to purchase a ramp for your Mastiff? Yes No Family Interaction Will all family members be involved in the care of the Mastiff? Yes No If no, please explain: How much responsibility will your child be given in the care and upbringing of the new Mastiff pup? Total=T Some=S Minimal=M None=N Housebreaking  * required Socialization  * required Feeding  * required Household Behaviors  * required Grooming  * required Obedience  * required How much adult supervision of dog and child will be provided?  * required Will all household members be involved in the love and upbringing of the new puppy? Yes No If no, please explain: Training and Socialization Proper socialization is the key to raising a perfect Mastiff with a stable temperament. A properly socialized dog is a respected member of society and its temperament is a reflection of its owners care and responsibility. Are you willing to provide your Mastiff with constant human socialization? (walks through parks, baseball games, outdoor shopping centers, etc.) Yes No Are you willing to provide your Mastiff socialization with other dogs? (avoiding dog parks) Yes No Socialization with children of all ages is extremely important, if you do not have children are you willing to provide your Mastiff with socialization with children? (park walks, scheduled school or day care visits, etc.) Yes No What types of training do you have planned for your new Mastiff puppy? Would you be willing to follow a training guide provided to you by the breeder? Yes No Are there a dog training facilities and parks in your area? Yes No If no, please explain: References Please include the name and phone number of each reference and how long you have known them: Personal: (family member living outside the home)  * required Personal: (friend)  * required Personal: (professional)  * required Neighbor: (living nearby)  * required Veterinarian:  * required Breeder: Please tell us who referred you so we may express our gratitude: Please feel free to add any additional information you would like to share with us: By signing this questionnaire you are promising that all information provided is true and accurate and you will hold true to the answers given: Signature/Date  * required Thank you for taking the time to complete our application/questionnaire and allowing us to get to know you and your family a little bit better. I will be in contact with you shortly after receiving your application. Should you have any questions in the meantime, please do not hesitate to call. Have a great day!

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