Name
Email
Phone Number
Address / Postal Code
City / Province
Names and ages of your children:(any allergies?)
Breeds and ages of other pets:
Do you own your home? YES NO
If you rent will you provide a written document stating your landlord will accept a puppy/dog? YES NO
Do you have a fenced yard? YES NO
Will the dog be restricted to certain areas of the house? YES NO
If the puppy will be restricted, how and where?
Describe a typical day in your household
What characteristics of the Welsh Springer Spaniel lead you to want one?
What are your expectations?
What is your preference? Male Female
If your preference is unavailable, would you accept another? Yes No
Are you willing to Spay / Neuter your puppy? Yes No
Will you take the puppy to puppy kindergarten or dog obedience classes? Yes No
Are you willing to return any puppy / dog aquired from us if you are unable to keep it? Yes No
Which of the following are you interested in? (please check all that apply)
Breeding Showing Field Agility Obedience Hunting
Please complete the form with all the members of your household as it is imperative that the commitment of owning a puppy is something everyone needs to be prepared for. This questionnaire will help us decide if one of our litter will be a good fit in your household, and also help us choose which puppy we think would be the best fit.