I Would Prefer That You Email Me the Completed Application

Teri & John Williams

16927 Holland Rd

Pearland,Texas77584-9641

832.731.8902

Please fill out this application to assist me in knowing just what you are looking for and how you view your role as a dog owner. Your information will not be shared with others.

I would prefer that you email me the completed application.

Please do not hesitate to contact me about puppies at any time. I try to communicate well with each applicant but there are times when I miss a post or something is thought to be sent to me and it just doesn’t arrive. I never feel that you are bothering me at any time with any questions….no matter how many! I am here to answer them all, now and in the future, even if you do not get a puppy from me.

I look forward to hearing from you!

Teri

Date:

Name:
Home Address:
City/State/Zip:

Phone numbers:

Email address:

Are you looking for a Soft Coated Wheaten Terrier or a Pembroke Welsh Corgi?

Please list the names of the adults in your home along with their occupation and employer:

Please list the names of the children living in your home and their ages:

Do the children know you are looking for a dog?

Have you had a dog previously?
If so, please tell me about the dog(s): Breed, still living, how old were they when they died and from what, or things you liked or disliked about them.

Do you have any other pets in the home?

Who will be the major caregiver of the dog?

Where will your dog spend the days and nights?

Which sex do you prefer and why?

Will you consider an older dog?

Will you use a crate for your dog?

Have you met a dog of the breed you are looking for?

Do you have a fenced yard?

Are you willing to physically restrain the dog at all times when out of doors?

Are you willing to neuter/spay your dog at about 7 or 9 months of age?

Do you plan to take your dog to an obedience class?

Do you live in a house or apartment? If renting do they allow pets?

Does anyone in your home currently suffer from allergies?

Are you willing to keep me informed of any changes in your address for the life of the dog?

Are you willing to sign a purchase agreement provided by me? Do you understand what Limited Registration is?

Where do you plan to be living in 6 years?

Please write a few paragraphs outlining why you want a dog and what you expect your dog to add to your family.

I hereby certify that all the information contained in this application is true and correct. I certify that my purpose in acquiring a dog is primarily as a family pet. This application is not an agreement to buy or sell a puppy but is a tool to aid in the placement of a puppy. No actual sale will be considered final until a contract is signed by and delivered to both parties.

Signature______Date______