City : State : Zip :
Home Phone : Work:
How did you hear about us?
Have you ever owned a Bloodhound before? Yes No
Why have you decided to purchase a bloodhound?
Do you prefer a Male Female Undecided
For what purpose(s) are you purchasing a bloodhound (Rank all that apply by number)
Family Pet Obedience Show Trailing
Do all family members want a new puppy?
Do you have young children? Ages
Who will train the puppy?
Who will be in charge of the puppy's care?
Do any family members have allergies to dogs?
Do you Own Rent? Do you live in a House Apt
Urban Rural Do you have neighbors close? How close?
Where will your bloodhound be kept during the day?
HouseDog run with doghouseYard with doghouseCombination
Where will your bloodhound be kept at night?
HouseDog run with doghouseYard with doghouse
Would you consider tying or chaining your bloodhound outside ? No Yes
Will your bloodhound have direct access to the house or next to the house , supervised entrance dog door?
Do you have a securely fenced yard?
Kind, Height and Size
Do you have a kennel run? Do you own a crate?
Will your puppy be raised as a member of your household? Yes No .
Are you willing to spay/neuter your bloodhound? Yes No . If no, why?
Do you currently own any other dogs? Yes No . If yes, list breeds and ages
Any other pets?
Have you ever owned a Large Breed dog before? Yes No .
Have you ever euthanized a dog before? Yes No . If yes, why?
Since Bloodhounds are a high maintenance care dog are you able to clean ears, eyes, coat, and trim nails on a regular
basis? Yes No .
Is your Vet familiar with Bloodhounds and willing to consult with our Vet if needed and us in regards to care? Yes No
Have you ever completed an AKC title in Obedience Breed
Agility Tracking Other
Please list titles
What type of personality are you looking for in your puppy?
Have you considered an older dog instead of a puppy? Yes No
What do you expect the activity level of the bloodhound to be: high moderate below average
What kind of floor surface will the dog be on in the home?tile linoleum carpet wood smooth surface with throw rugs
Have you ever housetrained a dog before? Yes No
Have you ever returned a pet to a breeder? Yes No
Have you ever given a pet away?
if so what were the circumstances?
Have you ever taken a pet to a dog pound or animal shelter?
if so what were the circumstances?
Are you committed to care for this dog's needs for his lifetime?
Do you understand that the puppy purchased from us will receive a Limited Registration (except those placed in show homes
that will be shown) Yes No
Are you willing to sign a written contract, if you are approved , prior to the purchase? .
Do you understand that this dog must be returned to Ripple Creek Bloodhounds with signed registration papers with no refund
of monies at your expense if:
you are unable to care for the dog any longer
you no longer want the dog
you violate the written contract signed at the time of purchase
unforeseen tragedy would leave the dog homeless
you are no longer able to maintain the dog in the environment it has been accustomed to and feel he is in distress or
Do you understand that this questionnaire will be made a part of the written contract at the time of purchase? Yes No
Additional comments or concerns:
Please copy and e-mail to email@example.com
or post to
Claudette & Bill Lyons
2 Bank Street
Browns Mills, NJ 08015
Visit our website at http://ripplecreekbh.tripod.com/
Please call or e-mail us 10 days after mailing your initial screening form and we can discuss whether you have been initially
approved for placement and at that time discuss in detail what our plans are for puppies in the future. It takes a while to
get to know prospective homes and both the prospective new home and myself must be sure about the decision. As I have said,
each placement is critical for the well being of the Bloodhound and its new family.
Thank you for your interest in the breed and in our lines........Claudette & Bill Lyons