Name (required): 
Address (required): 
City (required): State (required): 
Zip (required): 
Home Phone (required): Work Phone: 
Email Address (required): 
Occupation: 
Have you ever owned a Bloodhound before? 
Do you prefer a Male Female Undecided
Why have you decided to purchase this particular breed? 
What type of personality are you looking for in your puppy?
Do all family members agree to the purchase of this puppy? 
Do you have young children? 
If so, what ages? 
Do you currently own any other dogs? 
If yes, please list breeds, sex and ages 
Do you own other pets? 
If yes, what type(s) 
Do you OwnRent Do you live in a House Apt  Other
Do you have a securely fenced yard? 
Do you have a kennel run Do you own a crate 
Where will your bloodhound be kept during the day?
HouseKennel run w/doghouseYard w/doghouseCombinationOther 
Where will your bloodhound be kept at night?
HouseKennel run w/doghouseYard w/doghouseOther 
For what purpose(s) are you purchasing a bloodhound (Rank all that apply by number)
Family Pet Obedience Show Agility AKC TrackingABC trailing 
Law Enforcement/SAR workOther 
Are you willing to spay/neuter this dog? 
If not, why? 
Have you ever had a dog euthanized? 
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 including name, address, email, phone, relationship to you, years known:

Do you have any additional comments or concerns: