PUPPY APPLICATION

NAME::*

ADDRESS::*

PHONE NUMBER::

EMAIL ADDRESS::*

DO YOU WORK?:*
yes
no

IS THE PUPPY FOR YOUR FAMILY OR AS A GIFT?:*

HOW MANY MEMBERS IN YOUR FAMILY / HOUSEHOLD?:*

WHAT GENDER WOULD YOU PREFER?:*

WHAT COAT TYPE ARE YOU LOOKING FOR?:

DO YOU HAVE ANY OTHER PETS?:*
yes
no

IF SO, WHAT ARE THEY?:

WOULD YOU BE TAKING YOUR PUPPY TO PUPPY PRESCHOOL?:
yes
no

DO YOU HAVE A FENCED YARD?:*
yes
no

IS YOUR FENCING SECURE ENOUGH TO KEEP IN AN ACTIVE DOG?:*
yes
no

IS THERE AN AREA YOUR JRT CAN SEEK PROTECTION FROM THE WEATHER?:*
yes
no

WHERE WILL YOUR PUPPY SLEEP?:*

WHAT ARRANGEMENTS WOULD YOU MAKE FOR YOUR JRT IF YOU WERE GOING AWAY FOR AWHILE?:*

IS THE WHOLE FAMILY READY TO TAKE ON THE RESPONSIBILITY OF OWNING A DOG?:*
yes
no

WHAT ATTRACTED YOU TO A JACK RUSSELL TERRIER?:*

HAVE YOU HAD EXPERIENCE WITH DOGS? (JRT OR OTHER BREED):*
yes
no

ARE YOU WILLING TO GET YOUR DOG DESEXED?:*
yes
no

ARE YOU WILLING TO SIGN A DESEXING CONTRACT?:*
yes
no

ANY OTHER COMMENTS:

Please type the text below: