Puppy Application

It is very important to us that we place each of our puppies in a home where the puppy will be a cherished member of the household. In order to do so, we know that it is important to match each puppy to the family’s needs. Your response to this questionnaire helps us to know you and what you are looking for in your Kerry.

Please fill out as much of the questionnaire as possible.

Your Name

Your Phone Number

Your Email

Your Mailing address

Household and Community: Members of household, with children's ages and adults' occupations:

Are you interested in a Kerry Blue Terrier or Lagotto Romagnolo?

Are you interested in showing in Conformation or Performance events?

Do you have the finances to provide proper vet care to your dog (200-600per year)?

Please provide the ages of all children who live in your home or who arefrequent visitors (grandchildren, babysitting, etc)

How many hours a day will the dog be left alone?

Where will your dog sleep?

Where will your dog stay when you leave the house?

Describe your pet containment system (fence - how high? kennel, tie out,trolley wire, leash walk)

What other animals would a dog in your home need to be able to get along with (cats? ferrets?)

If you have other dogs, please tell me their breed(s), gender(s) and age(s).

Have you ever given up a dog? If so, please provide details.

What are your preferences? (Male/female, puppy/ young adult or retired Champion, Color)

Do you understand and agree that companion puppies, if not already altered by the breeder prior to placement, are sold on a spay/neuter contract requiring you to submit proof of altering prior to receiving the dog's AKC registration papers?

Are you willing to spend the time, energy and money to employ an expert dog trainer if your dog develops inappropriate behaviors which you areunable to control or re-train yourself?

Do you agree to return the dog to the breeder if, for ANY REASON, you cannot keep the dog?

May I or my representative visit your home and family?

Have you any questions for me as the breeder of a puppy you may be purchasing?

Please provide the names, phone numbers and e-mail addresses of two references not related to you (one being your current vet if you have one):

Describe the research you’ve done to determine that this is the right breed for your household:

________________________________________________________________________________________________________________________

Referrals:

Name

Phone Number

How were you referred to us?

Additional information you would like to give us:

I hereby certify that all the information contained on this application is true and correct. I understand that, If approved, I will be required to sign a Purchase contract. This application will become part of the agreement and any misrepresentation in this application will constitute a breach of the Conditions of Purchase.
Signature

Entering your name will be accepted as a signature.
Name