Name (required): 
Address (required): 
City (required): State(required): 
Zip (required): 
Home Phone (required): WorkPhone: 
Email Address (required): 
Occupation: 
Have you ever owned a Bloodhoundbefore? 
Do you prefer a Male Female Undecided
Why have you decided topurchase this particular breed? 
What type of personalityare you looking for in your puppy?
Do all family members agreeto the purchase of this puppy? 
Do you have young children? 
If so, what ages? 
Do you currently own anyother dogs? 
If yes, please list breeds,sex and ages 
Do you own other pets?
If yes, what type(s) 
Do you OwnRent Doyou live in a House Apt Other
Do you have a securely fencedyard? 
Do you have a kennel run Doyou own a crate 
Where will your bloodhoundbe kept during the day?
HouseKennelrun w/doghouseYardw/doghouseCombinationOther 
Where will your bloodhoundbe kept at night?
HouseKennelrun w/doghouseYardw/doghouseOther 
For what purpose(s) areyou purchasing a bloodhound (Rank all that apply by number)
Family Pet Obedience Show Agility AKCTrackingABC trailing 
Law Enforcement/SAR workOther 
Are you willing to spay/neuterthis dog? 
If not, why? 
Have you ever had a dogeuthanized? 
If yes, why:

Do you have a regular vet?Please list his/her name, address and phone number:

How did you hear about us?
List 2 references includingname, address, email, phone, relationship to you, years known:

Do you have any additionalcomments or concerns: