Puppy Interest Form

Thank you for your interest in a Staffwild Puppy!

Please take the time to fill in our form.

Note: Filling in this form does not guarantee you a puppy.

* Required Information

Name*

Address*

Phone Number*

Email*

Your Age

Your Living Arrangements

Do you have children?

Do you have other pets?

Have you had previous experience with Amstaffs?

Why would you like a puppy from Staffwild?

What are the most important qualities you would like your puppy to have?

Do you plan for your puppy to be

Are you willing to desex your puppy?

Yes

No

Undecided

What do you want to do with your puppy?

Pet

Breeding

Showing

Dog Sports (Obedience, Agility, Lure etc)

What sex would you prefer?

Male

Female

Either Sex

Any particular colour you are wanting your pup to be?

We like to keep in contact with all puppy buyers. Do you have any objections to us visiting your home?

Any other information you would like us to know?

IF YOU WISH TO BREED YOUR PUP, PLEASE ANSWER ALL QUESTIONS BELOW!

Which ANKC state body are you a member of?

What is your State Body Membership number?

What is your Prefix and Number? (if applicable)

What ANKC events do you regularly participate in?

Why do you want to breed your dogs?

Are you willing to be mentored by a Staffwild representative?

No

Yes

Maybe

What experience have you had in breeding dogs?

If for any reason a dog is not up to standard, fails health testing etc, would you remove them from your breeding program?

Yes

No

Not sure

All Staffwild dogs on Main Register are co-owned until desexed. Do you have a problem with this?

No

Yes

Not Sure