ࡱ> UWT5@  9bjbj22 (BXX  d $&> ZZZZ5_$r%%%%%%$'R)&i25522&ZZ&2 ZZ$2$ (r-#T-$Z2 40 <F#$&0&#*|*-$*-$X#Lo6,a###&&   Puppy Questionnaire Please complete this questionnaire to assist me in placing pups in appropriate homes. To use this form, place your cursor in the gray boxes and type your answers. When you are done, you can either print it and mail it to me at the address at the end of the application, OR you can save it as a word document and email it to as an attachment to  HYPERLINK "mailto:harto@chibardun.net" mailto:harto@chibardun.net Date:  FORMTEXT  DATE 6/1/20065/27/2006 Name:  FORMTEXT       Address:  FORMTEXT       Why do you want a Doberman Pinscher?  FORMTEXT       Have you ever owned a Doberman Pinscher? What other dogs have you owned?  FORMTEXT       Where are these dogs now?  FORMTEXT       Do you intend to participate in any of the following with your Doberman? Conformation Shows  FORMCHECKBOX  Obedience Trials  FORMCHECKBOX  Herding Events  FORMCHECKBOX  Tracking  FORMCHECKBOX  Agility  FORMCHECKBOX  Other  FORMCHECKBOX  Please explain:  FORMTEXT       Do you intend to obedience train your Dobe? Yes  FORMCHECKBOX  No  FORMCHECKBOX  If yes, where?  FORMTEXT       Do you intend to breed or use your Dobe for stud? Yes  FORMCHECKBOX  No  FORMCHECKBOX  If yes, please explain:  FORMTEXT       Do you have other pets? Yes  FORMCHECKBOX  No  FORMCHECKBOX  Please list: FORMTEXT       Do you have children at home or will children be visiting regularly? Yes  FORMCHECKBOX  No  FORMCHECKBOX Ages?  FORMTEXT       How do you see a Dobe fitting into your home? (Your schedule, housing of dog, activities, exercise, etc.)  FORMTEXT       Where will the dog be when you are: At home:  FORMTEXT       At work:  FORMTEXT       Away overnight or weekends:  FORMTEXT       On vacations:  FORMTEXT       How long will the dog be alone on an average day?  FORMTEXT       Where will this dog sleep at night?  FORMTEXT       Who in your family will be primarily responsible for: Daily Care:  FORMTEXHOjknq r ٻŭřvhvhvhYhhhOJQJ^JmHnHujh'OJQJU^Jh'OJQJ^Jh 0OJQJ^Jh&lh&l0JOJQJ^J'jh&lh&lOJQJU^Jjh&lOJQJU^Jh>OJQJ^Jh&lOJQJ^JhT? OJQJ^JhfIOJQJ^JhwOJQJ^J#hwhw5CJOJQJ^JaJkn   J L | 6 7 \  ^gdgdfIh^hgdfIgd'h^hgd' & FgdfI$a$gdw 9 " $ 8 : < F H L ĶĶpf\NDhEbOJQJ^JjhEbOJQJU^Jh21OJQJ^JhfIOJQJ^J'jhhhhOJQJU^J&jhhOJQJU^JmHnHu'jhhhhOJQJU^JhhOJQJ^JjhhOJQJU^Jh'OJQJ^JhEbOJQJ^JmHnHujh'OJQJU^J'jh'h'OJQJU^J R T V j l n x z I J K Y Z [ ݿɧɧug]Ig'jehEbhEbOJQJU^Jh'OJQJ^Jjh'OJQJU^JhVUOJQJ^J'jh21h>OJQJU^J'j}h21h>OJQJU^Jjh21OJQJU^Jh21OJQJ^JhfIOJQJ^J&jhEbOJQJU^JmHnHujhEbOJQJU^J'j hEbhEbOJQJU^J[ l m n | } ~ zf'jh21h>OJQJU^J'jhEbhEbOJQJU^J'j5hEbhEbOJQJU^J'jhEbhEbOJQJU^J'jMhEbhEbOJQJU^J'jhEbhEbOJQJU^Jjh21OJQJU^Jh21OJQJ^JhfIOJQJ^J# HJ ^gdfI^gd21gdfI hh^h`hgd21 & FgdfIh^hgdfI^gd  jrtnvx ʶʢʎzf'jahEbhEbOJQJU^J'jhEbhEbOJQJU^J'jyh21h>OJQJU^J'jhEbhEbOJQJU^J'jhEbhEbOJQJU^Jh21OJQJ^JhfIOJQJ^Jjh21OJQJU^J&jhEbOJQJU^JmHnHu%  PXZvxznt|~ݿݿݿݿݿݿyoݿ[ݿ'j hEbhEbOJQJU^JhVUOJQJ^J'j7 h21h>OJQJU^J'j hEbhEbOJQJU^J'jK hEbhEbOJQJU^JhfIOJQJ^Jh21OJQJ^J&jhEbOJQJU^JmHnHujh21OJQJU^J'jh21h>OJQJU^J#H\^rtvԢʘԢʘʘpԢ\'j h21h>OJQJU^J'j h21h>OJQJU^J'j h21h>OJQJU^JhVUOJQJ^J&jhEbOJQJU^JmHnHu'j h21h>OJQJU^JhfIOJQJ^Jjh21OJQJU^J'j! hEbhEbOJQJU^Jh21OJQJ^J$  <>RTV`bdfh>@BVXZdfʶʢԘzޘfޘ'jh21h>OJQJU^J'jWh21h>OJQJU^JhVUOJQJ^Jh'lKOJQJ^J'j h21h>OJQJU^J'jk h21h>OJQJU^Jh21OJQJ^JhfIOJQJ^Jjh21OJQJU^J&jhEbOJQJU^JmHnHu( dfh0V000$1&11x2z2@3B333042444"5 & FgdVU`gd>^gd'lKgd'lK & Fgd'lK^gdfI00000000(0,0.0B0D0F0P0R0f0j0l00000000000000000001w'jh21h>OJQJU^J'j/h21h>OJQJU^J'jh21h>OJQJU^Jh'lKOJQJ^J&jhEbOJQJU^JmHnHu'jCh21h>OJQJU^JUh21OJQJ^Jjh21OJQJU^J(T       Clean Up:  FORMTEXT       Training:  FORMTEXT       Vet/Food Bills: FORMTEXT       Dog s Exercise:  FORMTEXT       Do you have a fenced yard? Yes  FORMCHECKBOX  No  FORMCHECKBOX  If no, how will your dog have it s exercise and bathroom needs taken care of?  FORMTEXT       Do you intend to use a crate to housebreak your puppy? Yes  FORMCHECKBOX  No  FORMCHECKBOX  List any dog clubs you belong to.  FORMTEXT       List dog publications you regularly read.  FORMTEXT       What do you expect from your Doberman?  FORMTEXT       What do you expect from your breeder?  FORMTEXT       Please describe physical or character attributes that are important to you in a puppy?  FORMTEXT       Would you be willing to provide references that would have knowledge of you dog owner relationships and attitudes?  FORMTEXT       Thank you for taking the time to fill out my questionnaire. It will help me make the best match possible when placing them in their new homes. ~Marsha Hart O the North Kennels Marsha Hart 453  175th Avenue Turtle Lake, WI 54889 (715) 986-4688 1111 1\1f1h1111111111P2R2f2h2j2t2v2x2222333ݿݵݵݵݿuauuuMu'jhEbhEbOJQJU^J'j}h>h>OJQJU^Jjh>OJQJU^Jh>OJQJ^J'jhEbhEbOJQJU^J'jhEbhEbOJQJU^Jh21OJQJ^Jh'lKOJQJ^J&jhEbOJQJU^JmHnHujh21OJQJU^J'jh21h>OJQJU^J333:3<3>33333333344 44 4"4,4.40444444444444555p\'jAh>h>OJQJU^J'jh>h>OJQJU^JhVUOJQJ^J'jUh>h>OJQJU^J&jhEbOJQJU^JmHnHu'jh>h>OJQJU^Jh'lKOJQJ^J'jihEbhEbOJQJU^Jjh>OJQJU^Jh>OJQJ^J$55 55555555566666667 7 777708284868D8F8889 9ʶԬʘԎԎvihfIh&lOJQJ^Jh&lh&lH*OJQJ^JhVUOJQJ^Jh&lOJQJ^J'j-h>h>OJQJU^JhT? 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OpMenuOptionsMicrosoft Word($%@ccd      0@0 0@000000UnknownGz Times New Roman5Symbol3& z Arial"hإ   $24d 3QH)?fIUPlease complete this questionnaire to assist me in plcacing pups in appropriate homes Laura Hulke Laura Hulke    Oh+'0$0P dp   VPlease complete this questionnaire to assist me in plcacing pups in appropriate homes lea Laura HulkeauraurPuppyQuestionnaireFORMe Laura Hulke4urMicrosoft Word 10.0@@nL@ ՜.+,D՜.+,T hp  6DOBERMAN RESCUE MINNESOTAa A VPlease complete this questionnaire to assist me in plcacing pups in appropriate homes Title 8@ _PID_HLINKSApYlmailto:harto@chibardun.net  !#$%&'()*+,-/0123456789:;<=>?@ABCEFGHIJKMNOPQRSVRoot Entry F0XData "1Table.*WordDocument(BSummaryInformation(DDocumentSummaryInformation8LCompObjj  FMicrosoft Word Document MSWordDocWord.Document.89q