Name: (required)

Address: (required)

City, State, Zip: (required)

Home Phone: (required)

Cell Phone:

Are you prepared for/Do you know the effort involved in housebreaking a Bichon Frisé?

Do you know the difference in temperament and features between a male and female? Explain:

# of Household Children:

Date:

Email: (required)

Age:

Occupation / Employer:

Work Phone:

What do you know about the personality
of a Bichon Frisé?

Ages:

How many Bichons
would you like?

# of Household Dogs:

# of Household Cats:

 
How many Males?

Breed/ Gender/
Neutered/ Ages?

Gender/Neutered/Ages:

 
How many Females?

Name, Address & Phone #
of Breeder(s)/Pet Store:

Other Animals, List:

Hours an Adult is Home on Weekdays:

Where will the Dog stay during the day?

What type of interactions do you want to have with a Dog (close, occasional, constant, intermittent, very frequent, at "certain times," etc.)?

Are you able to permit me to make regular phone call follow-ups, if needed, within one month of delivery and throughout first year as needed…, to ensure the Owner and Puppy have adjusted to each other's environment & habits; to assist with guidance in training, care and nutrition of your new puppy?

Are you willing to sign an agreement to have your Bichon Frisé spayed/neutered at six to nine mos. of age and allow me to follow-up with the Veterinarian who conducted the procedure?
Please Note: Owners without this intention may or may not qualify for Purchase. We love our dogs. The purpose of spaying/neutering ours dogs ensures the long term health of such a fragile, small dog.

Is this your first Dog? If no, How long ago/ Breeds/ What happened to the Dog(s) / Vet name(s), Phone Number(s)?

Have you ever had to euthanize a Dog/Cat?
If yes, Explain:

Estimate your Expected Monthly Grooming Expenses:

What types of Items do you Expect to Purchase to Maintain a Bichon Frisé's high Maintenance Coat?

Estimate your Expected Annual Vet Care Expenses:

If you are no longer able to care for a Dog, who would take over the care?

Hours an Adult is Home on Weekends?

Where will the Dog stay at night?

Your Home is House/Condo/Apt:

Do You Rent or Lease and for How Long?
Please Note - Lease: Please submit Owner/Management documentation allowing Dog. This limits the possibility that our high quality dogs will end up in an adverse situation

Neighborhood - Urban/Rural?

Are you planning on relocating in the future?
If yes, what Plans Have You Made for the Dog During the Move and Afterwards?

Do You Have a Fenced Yard? If so What Type of Fence Do you Have and How Tall?
Please Note: Not having Fenced Yard is not necessarily a reason to not be considered for Sale.

Briefly explain Why you believe You would Provide a Great Home for a Quality Bichon Frisé.

What do you think the Negatives of a Bichon Frisé are?

When you travel out of town, where will the Dog stay?

What are your thoughts on the use of a Crate for your Dog?

What is your time frame for obtaining a Dog?
Please Note: It's not uncommon to be on a waiting list.

What are your Expectations / Concerns about getting a Bichon with an extremely pure blood line?

Name:

Age:

Occupation / Employer:

Current Veterinarian Name/Address:

Name:

Age:

Occupation / Employer:

Veterinarian Phone Number:

Veterinarian Fax Number:

Signature (required):

Date (required):

Finally, please indicate how you heard about our Pet Service
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