Puppy Enquiry Form Please fill in the form below if you are interested in a puppy from us. Please note the following: We are not commercial breeders. All of our dogs and puppies are raised in our home and are spoilt rotten, they are like children to us and we are very fussy as to where they are sold to. We only breed from healthy dogs and dogs with a good temperament. All of our puppies new homes are checked by us and all our dogs are sold with lifetime after care, care guide, full pedigree and Kennel Club registration papers. All of our dogs are sold with Kennel Club endorsements.

Name *

Address *

Street Address *

Address Line 2

City *

State / Province / Region *

Postal / Zip Code *

Country *

Email *

Home phone number *

Other contact number

Occupation of yourself and partner *

Hobbies and Pastimes *

Names and ages of ALL people living in the household? *

Do you have any regular visting children. i.e. grandchildren/childrens friends? *

Yes   No

What are the visiting children ages ?

How ofton do they visit?

Daily   Weekly   Monthly   Annually

Where will the puppy live (ie. in the home, outside, in a kennel)? *

Are you planning any of the following? -

A baby    House move   Holiday in the next few weeks    Change of work hours

Is your home a - *

House   Bungalow   Flat

Is your home - *

Owned   Private Rented   Council/house ass.

Do you have your own garden ? *

Yes   No   Communal

Is it enclosed?

Yes   No   Fence to be fixed/put up.

What is your minimum fence height? *

please select less than 4ft4ft5ft6ftHighter

What is your garden size? *

Fencing Type *

How do you feel about dogs on the furniture/beds? *

Where will the dog sleep at night? *

Do you work? *

Yes   No

If yes please state working hours:

Will the dog go to work with you?

Yes   No   Somtimes

If the dog will be going to work with you where do you work?

Who will care for the dog whilst you are away? *

If you have owned a dog in the PAST what breed of dogs have you owned before?

Do you currently own any other pets? *

Dog   Cat    Rodents   Birds   Other    None

If you currently own any other dogs please list breed, age and sex and are they neutered?

Some dogs/ puppies require more training than others :

I am willing to train a dog/puppy at home    I am willing to go to training club    I am not worried about training   I am going to send the dog away to be trained

Do you wish to breed from you dog once it is old enough?

Yes   No   Not sure

What type of activities would you like to do with your dog? (check all that apply)

Family Pet/Companion    Showing   Obedience or Agility   Therapy Dog   Breeding

Do you have a preference for a male or female?

Male   Female   Dont mind

What is the reason for your preference?

Will you be spey/neutering your Puppy when it is old enough?

Yes    No   Not Sure

What do you know about and why did you pick the Breed?

Do you know anything about grooming the breed?

Anything else you would like us to know about you?

When do you want to get a puppy?

Looking now     In 1-2 months     In 3-6 months    Just enquiring   When a suitable puppy comes along

Which puppy list do you wish to join?

Havanese   PBGV (Kathryn Moulding - Nykarth)    Wire Fox Terrier

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