EmailMe Form - Breeding Program Application

Have you read the FAQ page & Breeding Program 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 breeding program puppy/dog?

To participate in this program you must live within 1 hour of Perth. Will you be relocating outside of this area within the next 5 yrs.? i.e. job transfer etc.

Why are you interested in the breeding program?

Are you interested in a

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

When are you looking at taking a puppy/dog home?

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. Do you have a securely fenced yard? There are no exceptions. I do not consider invisible fence secure. I will only respond to applications with a securely fenced yard. Please describe the height & type of fencing & approximate size of yard. Are you willing to email me a picture of it?

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?

How many adults/children living in the residence? AGES PLEASE?

Do you have any grandchildren or children that visit regularly?

Is there anyone in the household with allergies, asthma, disabilities?

Do you have any health issues that will limit your ability to bend/lift or walk 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 travel or own/rent vacation property that you frequent outside of the area? How long would you be gone for?

Types of employment for everyone in the house and hours worked ie. 8:00 a.m. to 5:00 p.m., midnights, shift work etc.

Are you able to take some holidays 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? How much time daily?

How much time on working days can you dedicate
to just the puppy/dog i.e. walking, playing, training?
In the morning? ie. 1/2 hour, 1 hour etc.
At lunchtime? ie. 1/2 hour etc.
In the evening? ie. 1/2 hour etc.

Why do you want a puppy/dog?

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

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?

Could you describe current pets (cat, dog, sex, age, temperament, health, spayed or neutered etc. Will they adapt to a puppy/dog?

Can you tell me about past pets, what happened to them? If deceased, what they died from and at what age?

Did you or do you have any behavioral issues with current pets or past pets? How did you resolve these issues?

How do you feel about crate training?

How do you feel about obedience classes?

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?

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, conformation, breeding, obedience, draft, agility, tracking, field, therapy etc.?

What research have you done on the breed?

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?