Puppy Enquiry Form

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? *
What are the visiting children ages ?
How ofton do they visit?
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 - *
Is your home - *
 Private Rented 
 Council/house ass. 
Do you have your own garden ? *
Is it enclosed?
 Fence to be fixed/put up. 
What is your minimum fence height? *
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? *
If yes please state working hours:
Will the dog go to work with you?
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? *
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?
 Not sure 
What type of activities would you like to do with your dog? (check all that apply)
 Family Pet/Companion  
 Obedience or Agility 
 Therapy Dog 
Do you have a preference for a male or female?
 Dont mind  
What is the reason for your preference?
Will you be spey/neutering your Puppy when it is old enough?
 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?
 PBGV (Kathryn Moulding - Nykarth)  
 Wire Fox Terrier 
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