Puppy Pre-Adoption Application

* Indicates required field

Name *

First

Last

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

How many adults in the home? Ages? *

How many children in the home? Ages? *

Which breed are you interested in? Havanese or Wheaten? *

Are you familiar with this breed? *

Do you have a preference on boy or girl? Why? *

DO you understand you will be required to have puppy fixed? *

What pets have you had in the last 5 years? Were they fixed? *

Do you currently have a vet? *

What type of residence? How long at present address? *

Rent or own? If rent, does your landlord give you permission? *

DO you have yard? Is it fenced? *

How long will puppy be left alone on regular basis? *

Are you planning to kennel train for potty training? *

If don't work from home how do you place to potty train? *

How do you plan to confine puppy while not home? gated area? *

What are your family activities? camping, traveling, Etc.? *

Anything else you want us to know about your family? *

How did you hear about us? *

If your application approved, will you be paying the deposit with Venmo or check? *

Submit