Blue Chip Puppy Questionnaire


Thank you for your interest in a Blue Chip Dalmatian! By filling out this questionnaire as completely as possible, you will help us find the right dog for you. Please note that this form is not a reservation or guarantee of a puppy or dog. We reserve the right to make the final decision on the sale or transfer of puppies and dogs.

Full Name:
Street Address:
City, State, Zip:
Phone (Home/Work):
Email Address:
How did you hear of Blue Chip Dals? Shows Breeder Ad Web Other What age Dalmatian are you interested in? Puppy Adult Any What sex Dalmatian are you interested in? Male Female Any What color Dalmatian are you interested in? Black Liver Any What activities will your Dalmatian be involved in? Pet Conformation Obedience Performance Breeding Have you ever owned a Dalmatian? Yes No Do you have other dogs now? Yes No If yes, what breed(s)? What environment will your Dalmatian live in? Inside Outside Both Describe facilities for housing a dog (fence, yard, shade, dog door, etc...): How will you exercise your Dalmatian?: How long, on average, will the dog be alone during the work day? How old are any children who will be in contact with the dog? Does anyone in your family have allergies? Yes No What is your time frame for getting a Dalmatian? Please add any questions or comments: