Name:
 
Address:
 
Area Code & Home Phone No: 

Work No:

E-Mail Address:
 
Name of Employer:
 
Spouse or Significant Other's Information:
 
Name: 

Address:
 
Work No:
 
Name of Employer:
 
Names and ages of children living with you:

 
Do you have a fenced yard?  If YES, what type of fence and how tall?
 
Do you currently keep the gate padlocked?
 
Will the dog primarily be kept inside or outside?

Please describe where the dog will live: 

How many hours per day will the puppy/dog be alone?

When the puppy is alone will it be crated?
 
Do you currently have any other pets?  If YES please describe these pets in detail.

 
Have you ever owned a Havanese or other small breed dog before and if so what breed?
 
If you have owned pets in the past and do not now, what happened to them?
 

Please provide the name, address, phone number and e-mail address of your veterinarian.
 
Why have you chosen the Havanese and what research have you done on this breed?
 
How does a dog fit into your lifestyle?  Please describe.
 
What are your thoughts on disciplining a dog?  
(For example, you come home to find that your puppy has chewed the leg on one of your chairs or a pair of your very best and expensive shoes, or used your carpet to go potty).
 
Are you prepared to enroll your puppy into obedience classes?  Are you interested in showing your puppy?
 
Are you planning on becoming a breeder?  If so what is your background in breeding?
 
What characteristics do you want in a dog?  
Please describe the kind of puppy you would like (is there something specific as to sex of the dog, colour, size, height, etc. that you are looking for?).
 
Are you prepared for the expense of dog ownership?  
Even as a family pet, there are such things to consider such as a crate and pad, food and water, dishes (stainless steel), collars and training lead, and last but not least toys to help control chewing during the teething period.  
Other expenses include veterinarian bills (check-ups, vaccinations, heartworm test/pills, spay/neuter, annual CERF exam, etc.
 
If there are no puppies available at this time, are you prepared to go on our waiting list?  
If the answer is YES, please advise the best time to contact you and a number and/or e-mail you can be reached at.
 
Please provide three (3) references including name, address, telephone number and e-mail address:


 
Do you have any questions for us?