looking forward to know you:

Name:

Address:

State:

Home Phone:

Cell Phone:

1. Who will be the primary care giver?

2. Where will the puppy be kept during the night?

3. Where will the puppy be during the day?

4. Will you be able to go with the dog outside several (2-3) times a day?

5. How many hours will the puppy be alone per day?

6. Have you ever owned a dog before?

7.Do you have other pets?

8. Do you have children at home ? What are their ages?

9. Do you understand that the puppy is very curious and can very quick swallow a

small things from the floor, so for the first time you must keep the puppy in a

playpen?

10. How did you hear about us?

11. Will you come to visit us and pick up your puppy or have the puppy

delivered?

12. Veterinarian’s name, address and phone number. Please make sure that

you give them permission for me to contact them for a reference.

13. Have you ever house trained a dog before?

14. Will you be attending any training classes?

15. How long did your last pet live?

16. Have you ever returned a dog, and why?

17. Have you ever given a dog away or taken a dog to a shelter, and why?

18. Do you have the means to care for our puppy including giving it yearly vet

care and anything it needs to live a pampered and spoiled life?

19. Do you understand the difference between a Limited Registration(Pet only,

must be spayed or neutered) and Full Registration (shown and bred)?

20. Do you understand that if you no longer can keep our puppy that it must be

returned to us and NEVER go to rescue, a shelter, be used in animal testing, go

to a puppy mill or to an unscrupulous breeder? If you need to place the pup we

will assist you.