Avalon
Puppy Application/Questionnaire
Names of all persons with whom this puppy will live:
Name_______________________DOB_______________
Name_______________________DOB_______________
Name_______________________DOB_______________
Name_______________________DOB_______________
Address the puppy will reside:
____________________________
____________________________
____________________________
____________________________
Daytime Phone:____________Evening Phone:_________________
Cell Phone:_______________Email:_______________________
Do you reside in a house, apartment, or mobile home?Do you own
or rent?
___________________________________________________
Is this a rural or urban setting?______________________________
Do you have a fenced yard and if so describe (type & height)__________
___________________________________________________
List all pets you have owned in the past ten years:
Type/breed
Sex Age
Spayed/Neutered If dead, cause & age
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
Why do you want a Swissy?_________________________________
____________________________________________________
____________________________________________________
Is anyone in the household allergic to animals? ___________________
Do you intend to keep the dog primarily indoors or out? Please elaborate
__
____________________________________________________
____________________________________________________
Will the puppy be left alone more than 4 hours a day?_______________
____________________________________________________
Where will the puppy be left, when alone?_______________________
____________________________________________________
How do you plan to house break your puppy?_____________________
____________________________________________________
Describe in depth your feelings about discipline and training your dog,
and who will be primarily in charge of training?__________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
Have you ever trained a large breed dog? Explain ___________________
_____________________________________________________
_____________________________________________________
Are you familiar with crate training? Do you use crates? _______________
______________________________________________________
______________________________________________________
When riding in a vehicle, are your animals loose or crated? Explain
________
______________________________________________________
______________________________________________________
______________________________________________________
When you go on vacation will you take your Swissy? If so, how will the
dog be transported? If not, who will care for your Swissy? ___________________
______________________________________________________
______________________________________________________
Do you want a show quality or pet quality puppy? If show quality, who
will handle the dog to its Championship? ____________________________
______________________________________________________
______________________________________________________
Do you want a male or female? _________________________________
What other activities are you interested in doing with your Swissy?
________
______________________________________________________
______________________________________________________
______________________________________________________
Name, address and phone number of your veterinarian:
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
How long have you used the veterinarian? ________________________
Why did you choose this veterinarian? ___________________________
_____________________________________________________
______________________________________________________
Does your vet offer after hours emergency care or do you have access
to emergency vet services after hours? _____________________________
______________________________________________________
Are you willing to enroll your puppy in puppy kindergarten, basic obedience and/or CGC classes? _______________________________________
What do you expect of this puppy? ______________________________
What do you expect of Avalon _________________________________
______________________________________________________
______________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________________________________________________
Please list two references (non-family members) who have known you for
a minimum of 2 years. Please include name, address and phone number:
___________________________________________________
___________________________________________________
Please add any other information you feel is important. Please use the
back on this question or any other question that you need more space. ____________
_______________________________________________________
______________________________________________________________________________________________________________
_______________________________________________________
Signature of all persons who filled out this application:
______________________________________________________________________________________________________________
Date Application was completed:_________________________________
Please return application to:
Susan Starnes/Teresa Hand
Avalon Swissys
2606 Lufkin Lane
Deer Park, Texas 77536
281-479-1465
Email: sstavalon@aol.com