Anchor Creek Kennel
Sandi & Jeff Ling
7411 Chapel Road
Madison, Ohio, 44057
Phone: (440) 983-4214
Email: leonberger44057@yahoo.com
www.anchorcreek.com
Potential Owner Questionaire
* Required Field
Date:
Your name:
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Address:
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State:
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City:
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Zip:
Phone:
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Email:
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1.  Why did you decide on a Leonberger?
2.  Are you interested in a male or female?
Male
Female
Either
3.  What are you looking for in your Leonberger?  Do you have specific goals for
your dog (Showing, Therapy work, etc)?
4.  How many adults and children in your family and what are their ages?
Adults
Children
Ages
Ages
Hold CTRL button to select multiple age ranges
5.  Do you own another dog?  Other pets?
No
Yes
If yes, please tell us about them below.
Dog(s)
Cat(s)
Other
6.  Have you taken a dog to obedience classes?
No
Yes
7.  Have you ever euthanized or surrendered a dog to a shelter?  
No
If yes, please explain circumstances below.
Yes
8.  Describe your home setting.
Rural
City
Suburban
9.  Is your yard fenced?
No
Yes
10.  How will you exercise your Leonberger?
11.  Are you comfortable crate-training your dog?
Yes
If no, please explain.
No
12.  Are you interested in breeding dogs?
If yes, please explain why.
No
Yes
13.  Are you willing to travel to pick up your puppy?  We want to meet all of our
puppy owners personally and prefer not to ship puppies.
If no, please explain.
Yes
No
14.  Please provide two references.  If you have previously owned a dog, one
reference must be your veterinarian, a breeder or trainer.
One
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Reference Name:
Reference Phone:
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Reference Email:
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Two
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Reference Name:
Reference Phone:
*
Reference Email:
*
15.   If there is anything else you think we should know about you and your
family or living arrangements please tell us here.
We would appreciate photos of your family (pets too) and your yard.  We want to
make the best combination for our puppies in family homes.  Photos help us get
to know you even better.  Photos may be emailed.  Click
here to email us photos.

Thank you for your interest in our Leonbergers.
Sandi & Jeff Ling ~ Anchor Creek Kennels ~ Madison, Ohio
www.anchorcreek.com          leonberger44057@yahoo.com