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Contact Us


Email Address*

Phone #:

City/State where you currently reside

How did you find us?

What is your age group?

Type of Dwelling

Other Pets in Household

Marriage status

Describe/list other human family members living in the household (# and ages of children):

Are other members of your household (spouse, parent, children, other) also on board with adding a puppy to your household? Please elaborate.

When do you hope to add a puppy to your family?

Have you ever owned an American Staffordshire Terrier (or an American Pit Bull Terrier, or another similar breed)? If so, please describe.

Why do you wish to own an American Staffordshire Terrier?

Please describe your experience with animals (# of years as a pet/dog owner, # of years owning a similar breed, # of years for other relevant experience (list if you have worked in an animal related profession):

What puppy gender are you seeking?

What is your goal with this puppy?

Puppy/Dog Training

List moments of pride & accomplishment with current/former pets (could be a training/competition goal reached or a behavior your pet has learned to exhibit at home):

Do you intend to breed this pup/dog?

Where will this pup be housed?

List Place of Employment:

Have you ever rehomed a dog and/or returned a dog to the breeder, and if so, why?

What do you plan to feed this pup/dog?

How will you exercise this pup/dog and how often?

Do you plan to keep this pup updated with recommended vaccinations & heartworm preventative

For how long do you plan to keep this dog?

How much time do you plan to spend with your dog? And what activities do you plan to do with your dog?

When you travel, where does your dog stay? At home? Travels with you? Stays at boarding facility? Other?

When traveling with your dog, are there times when you dog stays alone inside the vehicle? If so, please describe: is the vehicle locked or unlocked and climate controlled with heat or air conditioning if needed?

Sign by typing your full name in the space below:

Thank you for reaching out to Amstaffs of Valentine Bluff for your next canine family member! 

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