Application

Puppy Application
Applicant's Name *
Street Address
City and State *
Email address *
What is your gender preference?	Male   Female   No Preference
Do you have children? If so, what ages?
Why did you choose the Havanese breed?
About how long will your puppy be alone each day?
Will you be showing your Havanese in AKC Conformation?	Yes   No   Undecided
Do you have other pets? Please describe.
Do you plan to breed? *	Yes   No   Maybe
Please check your activity goals for your puppy.	Pet Companion   Conformation   Agility   Rally   Therapy   Obedience   Other
Where will you puppy live and exercise?
Who will be the primary caregiver of your puppy?
Do you have a swimming pool?	Yes   No
Name and contact information for your vet
Would you be willing to consider and older puppy or adult?	Yes   No   Maybe
When are you wanting your puppy?
Telephone number *
How did you hear about us?

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