Year of Litter:         

Tell me how to get in touch with you:

Name
Address:
E-mail
Tel
Cell Ph.

How many members are in your family?  Adults   Children

Does everybody agree to getting a Bouvier?     If you are uncertain please explain below.

How many other animals do you own now?    Dogs Cats   Other

Why are you interested in owning a Bouvier and how do you plan to meet the puppy's needs i.e. housing, exercise, indoor area, outdoor area, where the dog will sleep, what plans have been made for when the dog is home alone, obedience training, etc.? 

How did you learn of Milsean Bouviers?

Will you commit to providing regular updates of the dog to Milsean during the life of the dog?

Would you consider a rescue or older dog should one become available that we feel could do well in your home?  

Would you like your info passed on to other Bouvier  Rescue also?

Have you ever owned a Bouvier before?  If so, please provide what you experienced.  Have you owned any other dogs?  What breeds?

Have you bred dogs before?  Do you plan to breed in future? Why or why not?

Do you have a vet?  If so please provide name, address and phone:

Please provide two references:

Reference #1

Reference #2

Enter your additional comments in the space provided below and include your preferences as to sex and colour along with any other information you feel would make you a suitable owner of a Milsean puppy.  Please include whether sex or colour is only a preference or would impact your decision to purchase, also please indicate what your cost expectations are for a purebred, health guaranteed, CKC registered puppy: