Irish Terrier Breeders - AKC Breeder of Merit
Please answer each question as fully and thoughtfully as possible. This will help us to determine the characteristics of the puppy who will best become a positive addition to your life.
Email address:_____________________________ Phone numbers: Hm_________________ Cell________________
Occupation:_________________________________________________________ Work phone:__________________
Have you owned an Irish Terrier before?_______________________Number of Years?________________________
If not, what breeds have you owned?____________________________________________________________
Do you prefer a male or a female?______________________________________________________________
What other pets do you have in the home?____________________________________________________________
Do you own your home or rent?_______Do you have a fully fenced yard?________ Type of fence?_____________
Height of fence?____________ How long have you resided here?__________
Are there Children in your family?______________Number?_____________Ages?___________________________
Will you contact your veterinarian and provide permission for us to ask him/her for a reference for you?
Veterinarian name:____________________ Phone number:________________________
How many dogs have you owned in the past five years?_________________What has happened to these dogs?_
Where will your dog spend his/her day?______________________________________________________________
How many hours will the dog be alone each day?_________________________________________________
Where will the dog spend the night?____________________________________________________________
How will you handle grooming?_______I know how to hand strip?
_______I want to learn to hand strip
_______I will pay a professional groomer to hand strip
How will you handle ear training?____________________________________________________________________
What are the most important qualities you are looking for in a dog?_______________________________________
How will you provide for your dogs need for out door exercise?__________________________________________
Are you interested in any of the following activities with your dog? Please number in order of importance or indi-cate "No" if not interested: Companionship_____Confirmation showing_____Agility_____Obedience___________
Thank you for your efforts in filling out this form.
Should you need this emailed to you please contact us at email@example.com