Questionnaire for Prospective Puppy Buyers

We have a careful and stringent placement policy. If you wish to acquire one of our puppies, please fill out the questionnaire fully. The answers you give will help us determine the best possible match between you and the puppies in a current or future litter. If you have difficulties with this online form please email our Webmaster.

Name
Address
City, State, Zip
Country
Phone	(Home) (Work) (Cell)
Email

Does everyone in your household want a new puppy?
Do you prefer...	Why do you prefer a male/female?
Are you interested in a puppy, young adult, older dog or retired champion? (Select as many as apply) Puppy Older puppy/young dog Older dog Retired Champion We occasionally have available retired Champion show dogs.
Have you ever owned dogs before? If yes, what breeds? Yes ~ Breeds: No, I have never owned dogs before.
Do you still have them? If not, why (death, gave away, etc.)?
Do you have other pets? If so, please list type, ages, intact or not, etc.)
How much time do you spend away from the house?
How will your puppy be kept when you are not at home? (at work, etc.)
Do you have children? If yes, please list ages. Yes ~ Ages: No Children
What activities would you like to take part in with your dog? (Check all that apply.) Show Earthdog Agility Rally/Obedience Companion Breeding Other (give details)
What kind of outside containment system do you intend to provide for your dog’s safety? Please be specific.
Do you intend to crate train your Welsh Terrier puppy? Yes No Not Sure
Are you willing to attend basic obedience classes?
Companion puppies are sold on an AKC Limited Registration and Spay/Neuter contract. Do you understand and agree with this? [ Read About AKC Limited Registration ] Yes No
Are you willing to return the dog to Shaireabs Bayleigh (for re-homing), if for any reason you are unable to continue to care for it? Yes No
PLACEMENT POLICY: I have read and understand the Shaireabs-Bayleigh Puppy Placement Policy.