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- Name: Address: Phone (home): work:
- Referred by:
- What reference materials have you read? How many individuals of this breed are you acquainted with?
- Type of dwelling: house condo apartment
mobile home
- If renting, please give name and address of landlord:
- Name, address and phone number of your veterinarian:
- Who will be the primary care giver?
- Where will the puppy be kept during the night?
- Where will the puppy be kept during the day?
- Is anyone home during the day?
- How many hours on the average will the puppy be left alone?
- Will there be someone available to feed and exercise the puppy during the day?
- Have you ever owned a dog before?
- Do you have any other animals?
- Do you have any children? If yes, what are their ages.
- Does anyone in your household have allergies to animals?
- If yes, to what and how severe?
- Are you interested in a male or female puppy?
- At what age do you wish to get the puppy?
- Have you considered an older dog instead of a puppy?
- How did you bear about this breed?
- What do you expect the activity level of this breed to be: very high high moderate
below average
- What kind of floor surfaces will the dog be on in the house?
- How many hours a day will the puppy be kept outside?
- How will he be confined when he is outside?
- Do you have a fenced yard or suitable pen?
- Have you ever house trained a dog before?
- How long have you lived at this address?
- Will you be attending any training classes?
- If yes, at what age will you start, which activities or competitions are you interested in, who is the trainer?
- How long did your last pet live? What were the circumstances of its' death?
- 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?
- Are you interested in showing the dog in the conformation ring?
- Have you ever shown a dog to it's championship?
- Are you interested in competition in performance events such as obedience, agility, hunting, herding, etc.?
- Have you shown a dog to any performance titles?
- Do you intend to breed the dog?
- Do you understand the difference between a limited registration and a full registration?
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