Please answer all questions in order for your application to be considered.
Name
:
Address
:
City
:
Province
:
Home Phone
:
Email address
:
Which breed of dog are you looking for:
Interested in a Portuguese Water Dog
Interested in a Lagotto Romagnolo
Interested in both breeds
Have you ever owned a PWD/Lagotto before?
PWD
Lagotto
Neither
Why have you decided to purchase a PWD or Lagotto?
Do you have a colour preference? If so please list below.
What preference are you looking for?
Male
Female
No sex preference
Do any family members have any type of allergies to dogs?
Yes
No
Do you live in a
House
Townhouse
Condominium
Apartment
Do you have a yard completely fenced with secure fencing?
Yes
No
Do you currently own any other pets?
Yes
No
Do you have children in the home?
Yes
No
If you do have children what ages are they:
1-5
5-10
10-20
Would someone be home with the dog during the day?
Yes
No
Please explain how long your puppy will be alone during the day?
Would someone be letting the puppy our at lunchtime?
Yes
No
Are you willing to crate train your puppy?
Yes
No
Are you willing to take your puppy to puppy class?
Yes
No