VictorinosKennel.com Questionnaire Page
Questionnaire takes approximately 10-15 minutes
Please take this Questionnaire as seriously as the birth certificate of your child.

All information will be kept strictly confidential.
We will respond to you within 8-10 days

All dogs sold require a signed contract and a $250.00USD non refundable deposit.
(**All questions marked in red are required**)

Full Name:
Home Address:
E-Mail Address:
Home phone number:
Work phone number:
Best time to call:
Are you willing to sign a contract stating that the dog will not be used in any illegal activities:
Yes
No
Will you be showing or competing with this dog in any of the following:
Conformation
Obedience
Agility
Weight Pull
Schutzhund
French Ring
None of the above
Do you currently own ANY animals:
Yes
No
If yes please list all of the animals you own:
Have you ever owned this breed of dog? How long did you own this dog? What happened to your dog or where is that dog now?
Are you looking for a:
Male
Female
No Preference
Do you prefer a puppy, adult, or no preference:
Puppy
Adult
No Preference
Do you have a preference in color and weight:
YES
NO
If so specify your preferences, Let us know what body type you like:
What airport are you near or are you willing to drive to pick up your dog:
Do you live in:
Home
Apartment
Condo
Farm
Other
If other please specify:
Do you own or rent:
OWN
RENT
If you are renting, do you have permission to own a dog:
YES
NO
Can this be verified with the landlord:
YES
NO
Name, address and phone number of landlord:
Home setting:
Urban (city)
Suburban (outside city)
Rural (country)
Does your municipality have breed specific restrictions:
YES
NO
Unsure
If above answer yes, please explain:
Where will the dog reside:
House
Yard
Both
If your answer was yard or both; how will the dog be contained in the yard?
Fenced yard
Chain
Kennel
If your answer was fenced yard specify type of fence and height:
Your yard size is:
Small
Medium
Large
Acreage
Will there be children living with the dog:
YES
NO
If yes what are the ages of the children:
Of all the breeds available, why do you want an American Pit Bull Terrier:
Please relate any prior experience you have had with this breed:
Please supply the name and phone number of your veterinarian, and if you have one your obedience trainer:
Please use this space to give any additional information that might help find a suitable match for you:

Create your own html forms.