Lakecrew PWDs

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Online Puppy Placement Questionnaire

ABOUT YOU:

Name:*

Address:

Street or P.O.

City

State

Zip

Phone:*	Home: ()		Cell: ()

Email:*

List the names of all members of your family living at home (and the ages of anyone under 18)

Why do you think a Portuguese Water Dog would be a good addition to your family?

Are you considering any other breed(s) and, if so, which one(s)?

Have you ever owned a PWD(s)? Yes No
If so, list the kennel and owner name of the breeder(s):

If not, have you had the opportunity to meet or be around any Portuguese Water Dogs?

Do you have any special concerns about PWDs?

Who will be primarily responsible for caring for the dog, and what is their home/work schedule?

How many hours (average) do you anticipate the dog will be without human contact each day (due to work, school, etc.)?

What other pets do you currently have? If dogs, please list breed, sex, age, and whether they are intact or neutered/spayed:

List the breed and sex of any dogs you had in the past:

Please describe any training that you have completed with animals:

Where will you keep the puppy during the day? Inside Outside

Details about the daytime environment:

Where will you keep the puppy at night? Inside Outside

Details about the nighttime environment:

If you have other dogs are they crate trained? Yes No

Type of dwelling (house, apt., condo):

Do you have a fenced yard? Yes No
If yes, please describe the fence (type, height, etc.):

Do you have a swimming pool and/or access to a swimming area that permits dogs?

PWDs require extensive grooming. How often would your PWD be combed/brushed?

Once every two weeks

Once a week

Twice a week

Daily

Who will be responsible for the grooming?

Do you have access to Puppy Kindergarten classes? Yes No
If so, would you be willing to complete a course with your puppy? Yes No

If you must leave your PWD, what arrangements will be made for its care while you are gone?

Please list your veterinarian's full name and business contact information:

Are you willing to spay/neuter this dog? Yes No

Studies have shown that early spay/neuter can increase the chances of certain diseases, as well as alter the growth pattern. We require that puppies not be spayed or neutered until they are a minimum of 9 months of age. If that poses a problem for you, please explain:

Pet / Show Preference (select one):

Pet - to be spayed/neutered

Show prospect - will show if it turns out; will spay/neuter if it doesn't

What types of activities do you plan for your PWD? (Check all that apply)

Agility	Obedience	Rally
Therapy Dog	Tracking	Water Work
Other

Please indicate your preferences:

Please list the qualities that your ideal dog would have, in order of importance:
(EX: gentle, calm, obedient, self confident, high energy, black, wavy coat, or any other qualities you would like)

How did you learn of Lakecrew Portuguese Water Dogs?

Please list any initial questions you would like us to answer:

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