Puppy Interest Questionnaire
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Previous Dog Experience (select all that apply)
*
Currently have a dog
Currently have a PWD
Previously had a dog
Previously had a PWD
No dog experience
Why do you wish to purchase a Windward Portuguese Water Dog?
*
Companion or Family Pet
Interested in a Show Prospect (conformation)
Interested in a Working or Performance Dog (obedience, rally, agility, therapy work)
Want to breed Portuguese Water Dogs
Junior Showmanship
Describe why you are interested in a Portuguese Water Dog.
*
Tell us about your home. Select all that apply.
*
Own
Rent (landlord written approval is REQUIRED prior to purchase)
Invisible Fence
Wood or chain-linked fenced backyard
No fence currently
Describe your home in detail and how you plan to provide your PWD with adequate exercise.
*
Select all that describe your employment situation.
*
Full-time
Part-time
Work from home
Travel required
Retired
Describe your employment situation in more detail, including how long your dog will be alone during the day and your plan for that time.
*
Who is currently living in your home? Select all that apply.
*
Spouse / Partner / Significant Other
Children
Dog(s)
Cat(s)
Live alone
List names and ages of ALL people and pets (include the breed) in household.
*
Are your current pets up to date on vaccinations?
*
Yes
No
I currently do not have any pets.
Are ALL of your current pets spayed or neutered?
*
Yes, ALL of my pets are spayed/neutered.
No
I currently do not have any pets.
Select your preference for a Windward PWD puppy. Please note this is a wish list ONLY. At no point will a potential puppy family be allowed to pick their puppy. Puppies are placed in homes based on Christie's evaluation of each puppy as well as the needs of each potential family.
*
Curly
Wavy
No preference of coat type
Male
Female
No preference of sex
Black with little to no white markings
Black with substantial white markings
Brown
No preference of color
Provide any additional information that you would like to share with Christie that should be considered when deciding if you are the right home for a Windward Portuguese Water Dog puppy.
Submit
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