Seaplume Welsh Terriers

Seaplume Welsh Terrier's Puppy Application

E-mail Address: *
Name: *
Age:
Address: *
City: *
State *
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

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