DBF Russell Terriers

Home of the Small Jacks!

Candace Lundin, DVM, MS

 


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Puppy Application

Thank you for considering one of our puppies to add to your family.  We are very selective in placing our dogs.  If you would like to be considered for one of our puppies, please complete this online questionnaire and click on submit when you have finished completing it.  We appreciate you helping us to get to know you better.  Items in Red and marked with * are required; however, the more complete the questionnaire, the better we can evaluate the suitability of your home for one of our pets.

 

Your Email:*

 

Name:*

 

Address:*

 

City, State, Zip*  

City, State, Zip: *

 

Home Phone:*

 

Work Phone:

 

Best Time to Call:

 

Occupation:

 

 

HOUSING / LANDLORD INFORMATION
Do you own or rent your home?

If you rent, do you have your landlord's permission to keep a dog?

Landlord's permission must be obtained!

Do you live in a:*
How long have you lived at this address?* 

 

FENCE / YARD / CRATE INFORMATION
Do you have a completely fenced yard suitable for a dog?:* 
Do you have a kennel run?
Describe fence or kennel run- type, height, and size:
If no fence or kennel run, how will you handle the dog's exercise and toilet needs?*

 (enter N/A if not applicable)

 

HOUSEHOLD INFORMATION
How many adults in the household?*
How many children?* 

(enter N/A if not applicable)

Age and gender of children:*

(enter N/A if not applicable)

How many hours each day will the dog be alone?*


OTHER ANIMAL INFORMATION
Do you own other dogs?*  Are they spayed/neutered?  
Please list breed, age, and sex of any other dogs   
Do you own cats?           If yes, how many?               
Where do the cats live?       
Do you own any other animals? If yes, please describe 
How many dogs have you owned in the past five years?*                                         

If you do not still own the dog(s), please describe what happened to it (them).

Please be specific.* (enter N/A if not applicable)

 

Have you ever returned a pet to the breeder?   
If so, what were the circumstances?
Have you ever given a pet away?                 
If so, what were the circumstances?
Have you ever taken a pet to the pound or shelter?* 
If so, what were the circumstances?
Have you owned this breed before?*
If not, have you talked with someone who owns this breed?
Why did you choose this breed?*
How do you plan to housebreak your puppy?
How long do you expect housebreaking to take in a toy breed dog?
What activities do you plan on doing with this dog?

    

     Other

Will you be attending any training classes?
Where do you plan on keeping this dog primarily?*
Where will the dog sleep?*
Do you have a regular veterinarian?
Veterinarian's Name:
Veterinarian's Phone:
Veterinarian's Address:
Are you willing to spay/neuter your pet?*
If no, why not?*  (enter N/A if you answered "yes" above")

 

PREFERENCES

SEX

I would like a:

COAT TYPE

I would prefer a:

COLOR

I would prefer a:

TYPE

Which type of short-legged terrier are you interested in?*

 

LITTER

If you have a specific litter in mind, list the parents here

 
   

 

                

Contact Form Generator

 

Contact   |   Home   |   Dog Branch Farm   |   Information   |   Available Puppies

 

Candace Lundin, DVM, MS & Frank Zureick

159 Larrick Lane, Middletown, Virginia 22645

Phone: 540-869-1238 / 540-270-5157

Candace@DBFRussellTerriers.com or FZureick@earthlink.net

Copyright 2007-2016, DBF Russell Terriers