Puppy and Dog Interest Form

Puppy and Dog Interest Form

Please use this form for Puppy and Dog Interest only, not for comments.

Tell us a little about you:

Name: (required)

Check out our dogs or puppies from the 2-3 month category; 3.5 - 5 month category. Fill out the information that is listed below:

Name of Litter:
Name of Puppy or dog: (only list 2 puppies):

Name of Litter:
Name of Puppy or dog (only list 2 puppies):

Once you have chosen your puppy or dog, either from a Farm visit, or via a telephone call, then you will send us a deposit of $500.00. We will provide you with a receipt for your $500.00, as well as, we will indicate on our website that your puppy or dog has been deposited upon.

Your telephone number: (required)

Your mailing address, including postal code: (required)

Your email address: (required)

Your age: (required)

Are you in good physical condition whereas you can walk, bend down, go up and down stairs without assistance: (required)
YesNo

Smoker?
YesNo

Do you require mobility aides, such as canes, walking poles, crutches, mobility scooters or wheelchairs?
YesNo

(If so do you have planned assistance if needed as Miniature Schnauzers require exercise at least twice daily)
YesNo

Are you capable of walking your puppy 1/2 hour in the morning and 1/2 hour in the evening:
YesNo

If yes, how far do you walk:1 km.1 km. - 2 kms.Over

Children and their ages: (required)

Do any of your children have physical or mental challenges?
YesNo

If yes, please explain:

Your current dog(s) and their ages:

Your residence:
HouseApartmentCondoTownhouse
OwnRent

Do you have permission to have a puppy/dog?YesNo

If so, do you have a size limit? (i.e. up to 20 lbs.)

Do you have a fenced yard?
YesNo

Your fenced yard MUST be fully fenced with no possibility of a puppy or dog getting out.
Thank you, Beverley

Your area. Choose from the dropdown list below: (required)
Bear MountainBrentwood BayCadboro BayCampbell RiverColwoodComoxCourtenayCowichan ValleyEsquimaltJordan RiverLangfordMainlandMetchosinNanaimoNorth SaanichOak BayParksvilleQualicum BeachRoyal OakSaanichSaanichtonSidneySookeSurreySwartz BayUplandsVictoriaGulf IslandsCities in Canada:AbbotsfordBrandonCalgaryEdmontonFort McMurrayFort St. JohnGrande PrairieHalifaxHamiltonKamloopsKelownaLethbridgeLondonMedicine HatMontrealNanaimoOttawaPrince GeorgeReginaRed DeerSaskatoonSt. John'sThunder BayTorontoVancouverVictoriaWaterlooWindsorWinnipegNorth American Cities:ChicagoDallasHonoluluLas VegasLos AngelesMauiMazatlanNew YorkOrlandoPalm SpringsPhoenixSan DiegoSan FranciscoInternationalOther - please enter below
If your area is not on the dropdown list above, please enter it here:

Description of your family's lifestyle: (i.e. quiet, active)

What type of puppy are you looking for?

Gender: MaleFemaleEither

Age: (required)

Personality / Temperament: (required)

When you fly, would you like to take your dog in the cabin with you?
YesNo

How did you hear about us? (required)

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