Application

Are you a minor?
YesNo

If "Yes", please have a parent or legal guardian fill out this application with you.

Name (First & Last, add guardian's name if minor)

Email (include guardian's email if minor)

Phone (use guardian's phone if minor)

What is your Location? (Zip Code or City & State)

What type of home do you live in? (Examples: Apartment, Ranch with 100 acres, etc)

Does anyone else live with you?

Do they live with you full time or part time (college kids, etc) and if so, how many?

Do you have domestic help? If so, doing what and where on the property?

Will you be the main caretaker? If not, who will be?

Does everyone in your home REALLY want a dog for the next 15 years?
YesNo

Are you sure everyone in your home knows what a Laekenois really is?
YesNo

What other breeds have you owned before?

What pets or livestock do you have? (Include non-canines, including cats, chickens, geese, etc)

What’s your outdoor access like?

Have you owned this breed before?
YesNo

What age Laekenois are you interested in? (Check all that apply)
Untrained PuppyPartially-Obedience-Trained AdolescentFully-Obedience-Trained Adult

What gender Laekenois are you interested in? (Check all that apply)
MaleFemale

Please describe the activities you want to engage with your puppy in. Include any recreational activities that you would like to do with your puppy (like hiking) and activities that are centered around the puppy (agility, dock diving, etc) or working dog activites (herding, guarding, service animal, pet, etc).

Do you have puppy classes available to you near your location? Puppy classes are a requirement for the best outcome for you and your puppy to bond.

Will you delay spay/neuter to at least the 15 month old age or later if at all?

Please tell us anything else you would like us to know.

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