Seantiago Havanese

Thank you for your interest in our dogs. We appreciate you answering the following questions so that we can more easily test and select the right puppy for you. Thank you for your cooperation and help in answering our questions.

YOUR NAME:

ADDRESS:

PHONE NUMBER:

EMAIL:

GOOD TIME  TO REACH YOU:

HOW WERE YOU REFERRED TO US?

Puppy Preference

MALE:                                                         FEMALE:

COLOUR :

Additional information:

WHAT QUALITIES DO YOU LIKE IN THIS BREED?

IS THIS YOUR FIRST HAVANESE?

ANIMALS NOW PRESENT IN YOUR HOME:

ARE YOU COMMITTED TO CARING FOR THIS DOG FOR IT’S LIFETIME?

HAVE YOU EVER HAD TO EUTHANIZE A DOG?

ARE YOU WILLING TO SPAY/NEUTER THIS DOG?

IF NOT, WHY?

ARE YOU WILLING TO SUPPLY ME WITH VET AND OTHER REFERENCES?

ARE YOU WILLING TO PUT THIS DOG ON NON-BREEDING CONTRACT?

DO YOU HAVE:                FENCED YARD                KENNEL

                                       UNDERGROUND FENCE   Please answer all that apply

IF YOU DO NOT, WHAT ARE YOUR PLANS FOR THIS DOG?

WHERE WILL DOG STAY DURING THE DAY/NIGHT?

Family Data:    ARE YOU:   M/S

AGE:                          CHILDREN:                              AGES:

OCCUPATION:

OTHERS IN HOUSEHOLD THAT WILL HAVE CONTACT:

Grandparents, etc.

DO YOU LIVE IN:          RURAL                             CITY

HAVE YOU READ ANY BOOKS ABOUT THIS BREED?                  IF SO, WHAT?

NAMES OF REFERENCES THAT YOU CAN GIVE US: 

Vet/groomer/etc.

Thank you. Please email your completed form to Seantiago@telus.net, or if you prefer to print your form and fax it to: 250-246-4510. We will follow up your application with a telephone call. Please note: Approval for a Seantiago dog does not guarantee a puppy will be available for you. To be fair to all applicants, a deposit of $150.00 is necessary to reserve a puppy, or to hold your place on the wait list.