Name

Address

Phone - home/work

E-mail address

How were you referred to us?

Why are you interested in one of our Leonbergers?

Are you interested in:
Companion
Show & Breeding
Obedience
Protection
Search & Rescue
Other (describe)

Any additional information that would be helpful in determining what kind of dog would best suit your lifestyle?

What qualities do you like in Leonbergers?

Preferences (sex, size, temperament, personality, color, etc…)

What don’t you want to find in a Leonberger?

Is this your first Leonberger?
Yes No

Please describe your previously owned dogs, breeds, lifespan, how long they lived with you, typical activities with you etc.)

Do you live in a:
house
apartment
Is your living area:
urban
suburban
rural
Do you have a fenced yard?
yes
no
Yard size Kennel size Type of fencing
Please describe the animals that currently reside in your home.

Please describe the family members who will be residing with the Leo (ages, occupations etc.)

Where will the Leo stay during the day?

Where will the dog stay during the night?

Are you committed to caring for this dog for its lifetime?

How are you going to train and socialize your Leo?

How do you feel about crate training your puppy?

Have you ever had to euthanize a dog? If so why?

Have you ever given up a dog to a shelter or rescue organization?

Are you currently a member of the Leonberger Club of America or any other dog Club?

All pet Leos are required to be spayed or neutered, do you agree to these terms?

Please provide us with the name of your Veterinarian as well as two references (Breeder, trainer, etc..) that you have used with your previously owned dogs.

Are you willing to allow us or someone we trust to do a in-home visit?