Seaplume Welsh Terrier's Puppy Application

E-mail Address: * Name: * Age: Address: * City: * State * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington, DC West Virginia Wisconsin Wyoming --Territories-- American Samoa Federated States of Micronesia Guam Midway Islands Puerto Rico U.S. Virgin Islands Zip: * Phone: * Fax: Your Home Environment Which of the following best describes your current residence? (Check one) * Own Home Rent/Lease Home Rent/Lease Apartment Other Neighborhood * Urban Suburban Rural Do you have a fence? * Yes No Type of Fencing * Fence Height * Type of Gates * Is fence solid & secure? * Yes No Invisible Fencing If you have children at home, please list ages and gender: Will there be other children who will visit on a regular basis? Who will care for the dog on a daily basis? * Does this person approve of getting the dog? Please list other persons (and ages) in the household who will have contact with the dog. Other pets presently in the household [Breed, Type, Age, Sex of each] Are the above animals spayed/neutered? Yes No Who will be your veterinarian? * Vet Telephone Number: * What dogs have you previously owned? (Please provide a brief explanation about how long you owned them and what happened to them.) For what reason(s) would you give up a dog? Has your dog ever caused you to be in a court situation? * Yes No If yes please explain why: Are you familiar with the temperment & characteristics in general of welsh terriers? * Yes No Preference for Welsh Terrier Sex? * Preference for Welsh Terrier Age? Any other requirements? How often and for how long will the dog be at home alone? (i.e. with no human family member) * Does everyone in the household work? * Yes No Hours per week Where will the dog be kept during the above hours? Where will the dog be kept during the night? [as a puppy] Where will the dog be kept during the night? [as an adult] Do you have a pool? * Yes No If yes, what barriers will be/or are installed to prevent the puppy from falling into the pool? On vacations, what would you do with the dog? How will the dog get exercise besides a fenced enclosure? Do you know anyone who is a member of the Welsh Terrier Club of America Inc or anyone who owns a welsh terrier? * Yes No Why do you want a welsh terrier? * How would you describe the trainability and temperment of a welsh terrier? What method would you use for training? * Any additional comments youd like us to consider? * Required Build Contact Forms