Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What type of home do you live in? *

Farm/rural home

Urban/suburb home

Apartment

Tiny home

Mobile home (RV)

Are you renting or do you own your home? *

Own

Renting

If renting: have you gotten your landlord permission to bring home a Beauceron puppy?

Yes

No

Have you every owned a herding dog breed? *

Yes

No

Have you ever owned a working-line dog? If so please list the kennel name that the dog(s) were from. *

Yes

No

Have you ever competed or participated in any of the following dog sports? *

No

Conformation

Obedience/Rally

Agility

Scent Work/Barn Hunt

Flyball

Fastcat

IGP/PSA/Ring

Dock Diving

Skijoring/Bikejoirng/Canicross

Disc Dog

SAR

Other

If you are interested in a puppy for a service dog prospect, do you have experience training a service dog? *

Due to high washout rates we can not guarantee a placement as a service dog.

Yes

No

I will use a professional service

I do not plan to train my dog as a service dog

Have you ever had to rehome a dog? *

If yes please explain below.

Yes

No

Current vet's number: *

(###)

###

####

Are you prepared for the time, training, and energy required by a Beauceron? *

Yes

No

Are you willing to invest in professional training if needed? *

Yes

No

When left alone, how will the puppy be contained? *

Correctly size crate (indoors)

X-pen (indoors)

Kennel (indoors)

Kennel (outdoors)

Yard

Free roam in home

Free roam in specific room

Are you aware of and willing to follow the breeder’s care and placement policies? *

Yes

No

Gender: *

Male

Female

Doesn't matter

Coat Color: *

Black & Rust

Harlequin

Does not matter

What qualities are most important to you in a Beauceron? *

Select your top three

High prey/toy drive

High food drive

High hunt drive

Independent

Confident

Velcro

Guard dog

Socialable

Handler focus

Adaptable

Resilient

Biddability

Herding instinct

Scent work

Athletic

Show quality (conformation)

What is your top priority with this new puppy? *

Family pet

Herding

Protection Sports

Service Dog

Personal Protection

SAR

Other dog sports

Scent work

Other

What level of energy do you want? *

Keep in mind all puppies are a handful when young.

High

Medium

Low

Select all sports you might be considering trying with your new puppy. *

Obedience/Rally

Agility

Scent Work

Barn Hunt

Tracking

SAR

Dock Diving

Flyball

Fastcat

Disc Dog

Herding

IGP

PSA

French Ring/Mondio

PPD

Weight pull

Skijoring/Bikojoring/Canicross