EmailMe Form - Ataraxis Puppy Application

Name

Phone Number *

Good time to call if we need to reach

E-mail *

Address *

How were you referred or find us? *

Have you been in contact with other breeders about purchasing a cardigan and who: *

Are you on a waiting list for another cardigan from another breeder? *

Are you interested in a: *

Puppy

Adult Dog

Older/Mature dog

Sex: *

I live in a:

Owned home

Rented home or apartment that approves me having a dog up to 40lbs

Condo with association that is okay with dogs

Why are you interested in obtaining one of our dogs? *

Pet/companion

Show

Performance/Obedience

Additional information that you will find helpful in considering me for one of your puppies: *

Will you crate train the puppy? *

When the family travels where will the puppy / dog be? *

What arrangement if puppy does not come along? *

Where will the dog stay during the night? *

Who will be the primary care giver of this puppy/dog? *

Is there anyone in your family allergic to dogs or dog hair? *

Will there be a regular veterinary care for this puppy/dog? *

Current veterinarin reference, including phone number; Please contact your vet and give permission to him or her for me to make a reference call. *

What are the current laws concerning owning dogs in you area? *

Do you agree to obey all dog laws for you state county and city? *

Do you agree to contact breeder (myself) if you can no longer keep this puppy/dog? *

Would you be willing for me or my representative to visiting your home? *

What would you do if there was a: divorce, loss of job, new baby in the family, moving: *

What kind of area do you live in?

Is this your first dog?

Yes

No

Is this your first cardigan?

Yes

No

Are you willing to spay/neuter this dog?

Yes

No

Names and ages of family members in household: *

Are all members in agreement with acquiring a dog? *

Occupations of adults in the family: *

Other pets or animals that you currently own: *

If you work outside of the home, how many hours a day will your dog be alone? *

Where will the dog stay during the day? *

Are you will to take your puppy to a minimum of one session of obedience classes? If no, why not? *

What specifically has you interested in a Cardigan Welsh Corgi? This is an important question to us, as the CWC is a unique breed, and they are cute and growing and popularity, but are still a herding dog that requires knowledge and willingness to train.

My yard is:

I don't have my own yard, I live in an apartment or condo

My yard is completely fenced

My yard is partially fences