Please fill out the online form below and when you are done, click 'Send'.
If you prefer, you can download this PDF form and either fax or mail it to us (fax number and address are on the form).
1. Why do you want a Black Russian Terrier?
2. How much exposure have you had to this breed? To dogs of other breeds? Please indicate which breeds, under what conditions and how many.
3. Do you wish to obtain an adult or a puppy?
4. For what purpose do you wish to own a Black Russian? If you wish to own this adult/puppy for show/breeding purposes what characteristics are most important to you?
5. If you wish to own a Black Russian for show/breeding, are you willing to sign and adhere to a show/breeding contract?
6. If you wish to obtain a Black Russian as a companion, are you willing to sign a spay/neuter contract and alter (spay/neuter) the dog?
7. Are you interested in a Black Russian of a particular gender?
8. Do you own or rent your home?
If you rent, can you provide a statement or pet deposit receipt from your landlord granting you permission to keep a Black Russian on their property? Please explain how you will work it out.
9. Do you have a fenced yard?
If not, what are your plans for exercising your Black Russian?
10. Do you plan to take your Black Russian to obedience classes?
11. Are you capable of meeting the social and physical needs of this Black Russian?
12. Do you have children?
If yes, what are their ages? Have they been exposed to large dogs in the past? Were there ever any problems with your children and dogs?
13. Do you have other dogs?
If yes, how many, what breeds, and are they intact or altered?
14. Are there any family members at home full time?
If no, what arrangements will you make for your Black Russian when no-one is home? How much time do you have available to spend with your Black Russian?
15. Have you ever met any Black Russian Terriers?
If yes, what are your impressions of the breed?
16. Can meet the needs of a Black Russian financially?
17. Do you agree to provide a safe, healthy home environment for your Black Russian?
Please provide name and contact information for your veterinarian (if you already have one) and at least one other reference (not a family member) who is aware of the environment in which your Black Russian will be kept. Veterinarian Other reference(s)
