Please realize that completing this questionnaire is in no way a committment on our part to accept a bitch for breeding.  Mom and I are VERY picky about choosing Vegas' girlfriends!   We do promise that all information provided is confidential and will only be used to help us make an informed decision about approving this breeding.  Thank you for your interest in Vegas.   Your Name:                     Location:                         Phone Number:               Your email address:          Section 1:  Your Bitch Bitch's Registered Name:  List all Titles: Health Clearances OFA Number - Hips:     OFA Number - Elbows: OFA Number - Heart:    CERF Number:             Other Cert's:                Full Dentition and Scissors Bite?    Yes   No Any History of ACL Tears?              Yes   No History of Pano, OCD etc?              Yes   No Eye Color:                   Mouth Pigment:          Bitch's Sire:                Bitch's Dam:               Please describe your bitch's temperament: What conformation strengths does your bitch possess? What would you like to improve upon? Please describe anything in her family history that we should be aware of: Has your bitch been bred before?    Yes   No If yes, did she whelp naturally?       Yes   No If yes, also please tell us about her breedings and pups: (Dates bred, Sires used, number of pups and their titles & health clearances etc., any DQ faults?)   Section 2:  This Breeding Are you planning to do a     Natural Breeding   Fresh Chilled Semen    Frozen Insemination? If a Natural Breeding, do you plan to do progesterone testing?      Yes   No If Fresh Chilled or Frozen, do you have access to a good Reproductive Specialist?      Yes   No What are your goals for these pups? Do you place companion puppies on spay/neuter or non breeding contracts?      Yes   No Are you willing to supply us with copies of both your pet and show contracts?     Yes   No Do you have specific homes for the puppies from this breeding lined up now?     Yes   No Do you hope to keep a puppy from this breeding?                                                 Yes   No When are you wishing to do this breeding? Please list any other information you wish to supply us with that will help us with this breeding:   Section 3:  About You List any COE Clubs that you are a member of: How long have you been breeding?                 How many litters have you bred?                     How many dogs live with you right now?          What titles & health clearances have you obtained on dogs owned by you? What titles and health clearances have been obtained on dogs bred by you?  Where exactly are your puppies whelped and raised? What are pups fed? How do you choose the homes your pups will go to and at what age do you send them home?   In Conclusion... Have you reviewed our Stud Contract?       Yes   No Please ask any questions you may have below:       Keona Rottweilers (and Kawaii) Shannon Ripplinger Edgewood, NM (505)286-6159  E-Mail Us