Date:

Your Name:  Occupation:

Spouse's Name:  Occupation:

Address:

City:        State:   Zip

Home Phone #  Cell: 

Fax #  e-mail: 

Children names and ages:

Address:

City:        State:   Zip

Phone # 

Family Hobbies: 

Puppy Preference:  Male   Female   Either

Do you plan to spay or neuter your dog?  Yes No

Do you prefer a certain color or markings? 

Describe what you are looking for in your puppy (temperament, attitude, personality, etc.)

Do you hope to breed your dog:  Yes No   Undecided

If yes, have you ever whelped a litter or owned a stud dog?  Yes No

If yes, please related your experience (be specific)

If yes, are you willing to have your dog screened for eye abnormalities and hip dysplasia, and to take the breeder's advice on all aspects of the breeding?

ABOUT YOUR EXPERIENCE & WHAT YOU CAN OFFER A PON PUPPY:

Are there other animals in the house (specify include numbers)

Have you ever owned dogs before?  Yes No

If yes, What breeds and for how long?

Do you travel often? Yes No

Where will your dog be while you travel?

Where will the dog stay during the day if you are not home? 

Do you have a fenced yard and if so, how large?

Do you plan to have your dog active in any of the following activities?

              Conformation

              Obedience   

              Herding

              Agility

              CGC

              Other (specify)         

Will you attend obedience and/or conformation classes with your puppy? 

Why are you attracted to a PON? 

Do you have any specific questions that you need answered pertaining to our puppies?

Thank you for your interest in Pondulacs Puppies.