Calavey Puppy Waiting List Questionnaire

Name:

Email:

Phone:

Address

Who will be the main carer of the puppy?

Are the main carers of the puppy over 25 years of age?

Yes

No

Occupation of Main Carer:

Names, ages and occupations of additional people in your household:

If all the adults work in the household, what hours would the puppy be unattended at home? Additionally, what are your intentions when you go on holiday or if you have an emergency?

Do you currently have any other pets (inc. dogs) in your household? If so, what are they (breed, age, gender and whether they are spayed/neutered)?

Have you ever surrendered a pet to a shelter/rescue?

Yes

No

If so, why?

Have you ever been or involved in being banned from keeping animals?

Yes

No

If so, please give further information:

What experience do you have of owning a dog? Have you owned dogs in the past? If so, what breed(s)?

What made you choose a Jack Russell Terrier was the breed for your family?

What research have you conducted to know that a Jack Russell Terrier is the breed for your family?

Did you consider any other breed? If so, what breed?

Do you live in:

House

Bungalow

Flat

Do you:

Own your home

Rent your home

If you rent your home, do you have written permission from the landlord to have a dog?

Yes

No

Does your home have a secure garden (fenced, walled)?

Yes

No

Is your garden considered:

Large

Medium

Small

N/A

Can you please tell us about your lifestyle i.e. activities, hobbies, how active are you and your family as a whole?

What gender are you looking for:

Dog

Bitch

No Preference

What type are you looking for:

Pet

Show

No Preference

What coat type are you looking for:

Rough

Broken

Smooth

No Preference

What colour are you looking for:

White with Tan

White with Black

White with Black & Tan

No Preference

Our pups are sold to live inside the family home, we will not sell them to live outside or in kennels. Do you understand or agree to this?

Yes

No

Do you agree that our pups are sold on a pet home basis therefore, endorsed (restricted) for breeding purposes (puppy sales contract covers this in more detail)?

Yes

No

Do you agree that if your circumstances change and you can no longer care for your new member that he/she should be returned to us 'the breeder' in all circumstances?

Yes

No

Are you on anyone else's waiting list for a dog?

Yes

No

Are you happy to sign a contract that within the contract it states, if we are made aware that you are mistreating, abusing or neglecting your new family member that we have the right to remove the puppy/dog from your care? The puppy sale contacts are legally binding within a court setting and are signed by both parties:

Yes

No

Do you have someone willing to give a reference, if required? i.e. Vet

Yes

No

Do you have any further information that you would like to provide us that you feel we should know about you, your family and the type of home life you are offering?

Waiting List Questionnaire

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