EmailMe Form - Guardianship Program Application

Have you read the FAQ page & Guardianship progam page (link on puppies page) it answers most questions including the price (3,000.00 plus HST)? By filling in this questionnaire you are indicating that you are interested in a breeding program puppy/dog. Do you understand how it works?

Is everyone in the household aware that you might be getting a Guardianship program puppy/dog?

To participate in this program you must live within 1.5 hours of Perth. Will you be relocating outside of this area within the next 5 yrs.? i.e. job transfer etc.

Do you travel or own/rent vacation property that you frequent outside of the area? How long would you be gone for?

Why are you interested in the Guardianship program?

What is your time frame for bringing a puppy/dog home?

Jan to Apr

May to Aug

Sept to Dec

What is your preference, male or female? Would you take the opposite sex

First and last name of Primary & Secondary Caregivers:

Email

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone Numbers

I do require a 5' securely fenced yard with a gate and access to the yard through a door from your house. I do not consider invisible fence secure.

Do you have a securely fenced yard?

Do you have a swimming pool? Is it above ground or in ground? Do you have a fence around it separate from the rest of the back yard? If you don't how do you plan to keep the puppy/dog safe?

Please provide the ages of the adults/children living in the residence?

Do you have any grandchildren or children that visit regularly? Ages please

Is there anyone in the household suffers with allergies, asthma, Anxiety? Please explain

Do you have any health/disability issues that will limit your ability to care for your puppy/dog?

Is there anyone in the household/family/nanny that doesn't like, does not want or is afraid of puppies/dogs? Please explain.

Do you live in a house, townhouse or apartment?

Do you own your home, rent or reside with others?

Do you work full time?

Are you able to take some time off when the puppy/dog comes home? How long?

Are you prepared to have someone come in throughout the day to feed/exercise and let your puppy/dog out while at work? Who?

Why do you want a puppy/dog?

What research have you done on the breed? Are you aware this is a sporting breed with a fair amount of energy. They will require about 2 hours a day of exercise, rain or shine.

Have you ever raised a puppy before (not including a family pet while growing up)? What research have you done on raising a puppy?

Are you willing to crate training?

Are you willing to take your puppy to puppy kindergarten & dog to obedience classes?

Who will be responsible for training & walking your pup/dog?

Are you planning to take this puppy/dog to dog parks, doggie day care, board at a kennel etc?

Will this puppy/dog be allowed to run off lead under supervision while on a walk?

Are you planning on getting another puppy/dog other than this one? When? What breed? Are you on another breeders list?

Where will the puppy/dog be kept when no one is home i.e. family room, basement, garage, outside etc.?

Where will this puppy/dog be kept when you are home?

Do you currently have other pets? Describe current pets (cat, dog, sex, age, temperament, health, spayed or neutered etc. Will they adapt to a puppy/dog?

Have you had pets in the past? What happened to them? If deceased, what they died from and at what age?

Have you had any behavioral issues with current pets or past pets? How did you resolve these issues?

On average how many evenings a week are you away from home i.e. kids activities, sports, gym, classes etc.?

Are you planning any big events in the next year ie. new baby, new job, moving, taking care of elder parents etc.?

What traits are you looking for in a puppy/dog that would help me place the right puppy with you i.e. activity level, temperament, size, color, personality etc.?

What are you interested in a puppy/dog for i.e. companionship, showing, breeding, obedience, draft, agility, tracking, field, scent, therapy etc.?

How did you hear about Glenbern?

Any other questions/information you would like to include?

Do you agree that the information provided by you is accurate & true?

Are you interested in

Puppy

Older puppy

Adult