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Waiting List Application

Please print out this page and mail it to us at the address at the bottom of this page.  Alternatively you can put the same information into an email and sent it to us that way.

Name:_______________________________________________________________

Address:_____________________________________________________________

Phone:_______________________________

Email:________________________________

How many children are in the home? _________________  Ages? __________________________

How many dogs have you owned before and what breeds were they?_________________________

______________________________________________________________________________

Did you do any formal training with them?  if so what ?_____________________________________

______________________________________________________________________________

What do you plan to do with your puppy?  Show? Obedience? Agility? Companion?

______________________________________________________________________________

Do you live in a single family home? Apartment? ____________________________

Do you have a fenced yard? __________

References  ( 2 )  For example, your vet or, someone that you have trained with

__________________________________________________________

__________________________________________________________

Have you read the section on this site entitled "Is the Malinois Right for You?" on the Get Smart page? _____________

Contact Information

Telephone
(410) 886-2232
Postal address
Jim and Marti Moses
21710 Cove Point Farm Rd., Tilghman, Md. 21671
Electronic mail
Information: covepoint@verizon.net

Send mail to covepoint@verizon.net  Questions or comments about Malinois or this web site are always welcome.
Copyright © 2003 CovePoint Belgian Malinois
Last modified: 09/25/06