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Puppy Application

Please complete the questionnaire below and click submit. This will help with the selection of the right puppy for you and your family.

* Items with asterisk are required fields.

Applicant Full Name:*

Spouse (or Significant Other) Full Name:

Address:

Street

City

State

Zip

Email address:*

Phone:*


FAX:

How many people are in your household?

Do you have children? Yes No

If yes, what are their ages?

Does every family member want a dog? Yes No

If not, please explain:

What made you decide to get a dog, especially a Portuguese Water Dog?

For what purpose are you purchasing a PWD? (Check all that apply to you)

Family Pet	Agility	Obedience
Show / Breeding	Therapy Dog	Water Work
Other

If you have other pets in your household, please describe:

Do you have them professionally groomed, or do you groom them yourself?

Are you willing to vaccinate at the minimum or learn more about it? Yes No

Are you willing to feed a raw diet or learn more about it? Yes No

Is your yard fenced? Yes No

Where will you keep this puppy? Inside Outside

Are you willing to crate train your dog? Yes No

If yes, what size is your crate?

Do you understand the financial commitment involved in having a pet, other than the original cost of the dog? (Veterinarian cost, quality food, regular grooming)

Are you willing to wait to spay/neuter this dog after one year of age? Yes No

Prefer male or female? Male Female

Prefer curly or wavy? Curly Wavy

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