| Name |
|
| Address |
|
| City, Province, Postal Code |
|
| How long at this address? |
|
| Home Ph. # |
|
| Work Ph. # |
|
| Fax # |
|
| Email |
|
How did you hear about our Brittany's
(on the web, friend, dog event, etc.) |
|
| Do you prefer a |
___ Male ___ Female ___No Preference |
| Is this your first Brittany
|
Yes ___ No___ |
| How long have you considered this purchase |
|
| Why are you interested in a Brittany |
|
| # of people in the household |
|
| Ages of Children |
|
Is everyone in the household
in agreement about getting a puppy |
|
| Primary Caregiver |
|
Are you aware that Brittany's have
a high energy level and shed hair
|
Yes ___ No ___
|
Are you prepared to care for
a dog for 12-14 years |
|
What role do you plan for your pup -
Show, Field Trial/Tests,Obedience/Agility, or
Family Companion (explain)
|
|
| Do you plan to breed your dog (Explain) |
|
| Previously owned dogs |
#_________
Breed____________________________
|
| What happened to them |
|
| List all pets in current household |
|
Do you rent or own your home
|
Own ______ Rent______
|
| If you rent, does your lease include pets |
Yes______
No______ |
| Is your back yard fenced |
How high _____________
|
If not, how will you ensure your
Brittany will be safe when outside |
|
Where will your dog live
|
Mostly inside ____ Mostly outside
____
Explain: |
| Will you crate train your dog |
|
| Where will your dog be when you are not home |
Explain: |
| How many hours per day will the dog be left alone
|
During house breaking stage |
| |
After |
| Have you ever given up a dog to a Shelter or Rescue
Yes______
No______ |
Why |
| What might be the reason for giving up this new
dog |
Explain: |
|
Who will take care of the dog if you become
temporarily or permanently incapacitated
|
Explain: |
| If there is no one to take care of the dog, do you agree
to contact us and give us a chance to help find a suitable home |
Yes______ No______ |
| The Socialization and obedience training needs of
a Brittany will help make him/her an enjoyable companion and
a good canine citizen. Do you plan to take your Brittany
to Obedience Classes |
Yes______ No______ |
| If you purchase a Show quality pup, are you willing
to show him/her to their Canadian Title |
Yes______ No______ |
| Are you willing to travel to Millet, Alberta Canada, to
pick up your pup when it is time |
Yes______ No______ |
| Please provide the Name, Address, and Phone # of
your Veterinarian |
Name
Address
Phone
|
| Names and Addresses of 2 references we
may contact (including their relationship to you) |
Name
Address
Phone
|
| |
Name
Address
Phone
|
| |
|
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