Prospective Puppy Owner Questionnaire

Name:

Mailing address:

Email address:

Phone number (including area code):

Preferred Gender:
No Preference
Male
Female

If you prefer one gender, why?

Age Preference:
Puppy
Young Adult
Older Dog
Retired Champion

What specific qualities of a Welsh Terrier are attractive to you, and what do you think their challenges are?

What is your experience with Welsh Terriers, other Terrier breeds and/or other dog breeds?

Do you currently have any dogs, and what has happened to your previous dogs (death, gave away, etc.)?

Do you have any other pets? If so, please list what they are.

How much time do you spend away from the house, and how will your dog be kept when you are not home (at work, etc.)?

Describe where you live (and where the dog will live)... including size and type of house and yard, whether yard is fenced or not, areas to walk in the neighborhood, etc...

Do you have any children? If yes, please list ages.

Do you have a relationship with a local veterinarian and fully understand the costs of veterinary care?
Yes
No

Are you willing to attend basic obedience classes?
Yes
No

Which of the following activities are you interested in engaging with your Welsh Terrier?
Conformation (Dog Shows)
Earthdog
Agility
Rally-O
Obedience
Companion
Breeding
Other:

Have you ever or would you consider breeding your Welsh Terrier (even if it is just one litter)?

Are you familiar with the grooming requirements for a Welsh Terrier and would you be doing this grooming yourself?

How did you hear about DARWYN Welsh Terriers and why did you choose our Kennel?

Companion puppies are sold on a CKC limited registration with a requirement in the contract to spay or neuter the dog. Do you agree with this?
Yes
No

Are you willing to return the dog to DARWYN (for re-homing) if for any reason you are unable you are unable to continue to care for it?
Yes
No

Please elaborate on any special circumstances that you wish to be considered that were not discussed elsewhere on this form: