PLEASE FEEL FREE TO FILL OUT OUR PUPPY APPLICATION AND EMAIL IT TO US AT

THANKS!!

Name______Date:______

Address______

City______State______Zip______

Home Phone______WorkPhone______Email ______

Best Time to Call______Occupation______

Do you own or rent your home? Own Rent

If you rent, do you have your landlord’s permission to keep a dog? Yes No

Do you live in a House Apartment Condo/Townhouse Other

(If other, please describe:)______

How long have you lived at this address? ______

Do you have a completely fenced yard suitable for a dog? Yes No

Describe fence type, height and size:______

If no fence or kennel, how will you handle this terrier’s exercise and toilet needs?______

______

How many adults in the household? ______Children? ______

Age and gender of children? ______

How many hours a day must this terrier be alone? ______

Do you plan on a dog walker/daycare if it is more than 6 hours?______

Do you plan on taking a new puppy through any obedience classes?______Puppy Kindergarten?______

Are any members of your household allergic to animals? Yes No

Please describe your lifestyle: Active Passive

Do you own other dogs? Yes No Spayed/Neutered? Yes No

Please list breed, size and gender of each:______

Do you own cats or any other small furry critters?______

How many dogs have you owned in the last five years?______

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

______

Have you owned a BorderTerrier before? ______

Why did you choose this breed? ______

______

What activities do you plan to do with your dog? Pet/Companion Agility Obedience

Tracking Earthdog Trials Show/Conformation

Do you understand that if you are approved for a Meadowlake Puppy, you must sign a spay/neuter contract unless a show contract is signed? Yes No

Please be advised that should you purchase a pet/companion Meadowlake puppy, the AKC registration certificate will be held until I receive a receipt stating your terrier has been spayed or neutered before 1 year of age. At that time I will immediately forward the registration application to you. A copy of the AKC registration ap will be supplied to you upon purchase of your puppy, and also a 4 generation pedigree.

Do you have a regular veterinarian? Yes No Name______

Address______Phone______

I would prefer to purchase a : Male Female No Preference

I would be willing to consider a puppy of a different sex: Yes No

Comments:______

______

______

Personal Reference:

Name______Relationship______

Address______

Phone______

Thanks so much for completing this questionnaire. It helps me to be able to choose the best possible match for your family! You can email this back to me to or feel free to snail mail!

Sincerely,

Karen Fitzpatrick