Breeders of American Pit Bull Terriers
Personal Puppy Interview

This information will help us in placing a puppy in your home. Please answer all question and feel free to add comments.

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Your Full Name
Home Address
City/State/Zip
Home Phone with Area Code
Complete Email Address (example 123@aol.com)
Do you are have you owned this breed before?
Do you have any children?
If so what are the ages of the children?
What are you looking for a male or female?
Color?
Puppy or Adult?
Price Range?
Will you be breeding this dog?
Are you interested in a show pup?
How did you find us?
Anticipated Purchase Date
Would you like to be added to our Litter Announcements Folder?
Do you want a puppy/dog with papers?
Primary reason for purchasing this breed?
Upon request can you provide 2 (two) referances?
Will you train your new puppy/dog?
Who will do the training?
How are you going to socialize your new puppy/dog?
Would you be willing to submit pictures for our website and photo albums?
Upon approval of your application would you like to place your deposit of $200.00 or purcahse any available puppies/dogs now?
Under US, Local and State law(s) it is illegal to use any animal for the pupose of fighting. You agree that you are NOT purchasing a puppy/dog from Naughty Dawg-Impale the Nation Kennels for fighting or for ANY other ILLEGAL purposes.
Add additional comments here.