PUPPY APPLICATION

*NAME *ADDRESS *POSTAL CODE *OCCUPATION *HOME PHONE NUMBER MOBILE NUMBER *EMAIL

TELL US SOMETHING ABOUT YOURSELF AND YOUR FAMILY

What is your lifestyle? Is someone home during the day? Do you have children, if so, how many and their ages? *How did you hear about us?

YOUR PET HISTORY

*Is this your first dog?
YES?
NO?
If you have another dog what breed is it? Do you still have that dog, and if not, what happened to it? Do you have any other household pets? What attracted you to the Bichon?

WHAT ARE YOU LOOKING FOR IN A PUPPY?

*
MALE?
FEMALE?
PET?
SHOW?
Have you studied the breed, and do you know what care is required for it's wellbeing?
YES?
NO?
Please inform us of anymore information you would like us to know:

KERDAZEL'S BICHON FRISE & PUG

BICHON FRISE & PUG

PUPPY APPLICATION