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Co-owned

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Caragh
Jazz
Tiara

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Are you interested in getting a pup from us?

Fill out this form

Name(required)

Address(required)where your puppy will reside

Zip code(required)where the puppy will reside

Email address(required)

Phone number(required)

Referred by

Type of dwelling(required)Where your puppy will reside

Single family home

Farm/ranch/horse property

Apartment/condo

Own or rent?

Own

Rent

Your veterinarian's contact information

Where will your puppy be kept during the day?i.e.: "crate", "backyard", "loose in the house", etc

And night?i.e. "crate", "his/her bed", "backyard", "dog house"

Do you have a fenced yard or suitable pen?

Fenced yard

Pen/run

How many hours a day will the puppy be kept outside?

Please explain your previous answer

Will there be someone available to feed and exercise the puppy during the day?

Yes - family member

Yes - dog sitter

No

How many hours will be the puppy left alone?

Have you ever owned a dog before?(required)

Yes

No

For how long?

Do you own any other animals? Please check all, that applies.(required)

Cat(s)

Dog(s)

Horse(s)

Bird(s)

Other

If you checked "other", please explain.

Do you own any intact dogs?(required)

Female

Male

Neither

Both

Do you have any children?(required)

Yes

No

If yes, how many, what are their ages?

What are you planning to feed your puppy?

Dry puppy food

Dry adult food

Canned puppy food

Canned adult food

Raw

I'm planning to cook for the puppy

If you checked dry or canned food what BRAND?The brand of food you're planning to feed

What do you expect the activity level of this breed to be?

Very high

High

Moderate

Low

Are you interested in a male or female puppy?

Male

Female

Either

Will you be attending any training classes?

Yes

No

If yes, at what age will you start, which activities or competitions are you interested in?

Have you ever returned a pet to the breeder? If so, what were the circumstances?

Have you ever given a pet away? If so, what were the circumstances?

Have you ever taken a pet to a pound or shelter? If so, what were the circumstances?

What kind of surfaces will the puppy live on? Please check all, that applies.

Concrete

Hardwood

Laminate

Vinyl

Carpet

Other

Are you financially prepared for not only the cost of a puppy, but veterinarian care, cost of a good quality dog food, obedience or show classes, emergency surgeries, etc.

Yes

No

Are you interested in showing the dog in the conformation ring?

Yes

No

Have you ever house trained a dog before?

Yes

No

Have you considered getting an older dog - over 12 weeks old?

Yes

No

When would you like to bring the new puppy into your home?

As soon as possible

in 1-3 months

in 3-6 months

in 6-12 months

in over a year from now

Where did you hear about us?(required)

AKC website

BCSA website

Facebook

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