HOUSEHOLD MAKEUP: Provide the following info. on all members (full or part-time) of your household.
List Pets: List all pets that are currently part of your household.
PREFERENCES OF ADOPTIVE FAMILY
If you decide on a pet Havanese, are you aware that it will be sold with limited registration on a spay/neuter agreement? Yes No
Timing - When would you like to add a dog to your family?
If there is not a dog available then, would you like to be placed on a waiting list? Yes No
Any other preferences?
ENVIRONMENT:
Will this dog be primarily an indoor or outdoor dog?
On average, how many hours will this dog be alone during the day?
Hours
How will this dog be confined outdoors (i.e. fenced yard, kennel, cable run, tether)?
What is the size of the area?
Do you have an in-ground or above ground swimming pool? Yes No Which?
If yes, is it fenced separately for the rest of the yard? Yes No
Once trained, how and where will this dog be confined indoors when no one is home (i.e. crate, gates, doors, none)?
What is the size of the area?
Who will be the primary caregiver for this dog?
MISCELLANEOUS
Do you belong to a kennel club?
Are you aware of the possible illnesses associated with this breed? YesNo
Please explain a little what you know about them (if yes):
How did you become introduced to this breed and what characteristics do you find the most appealing?
Please list the dogs that you have owned in the past.
List the types of training in which you have ever participated (i.e. puppy class, obedience, agility, flyball, none).
REFERENCES (Veterinarians, dog training instructors, friends, relatives):
Other comments or information:
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