Puppy Application

All information collected here will be kept strictly confidential and never shared with any other organization. It really helps us decide which homes are best for our puppies and also which puppy will be best suited to your family. As you fill this out just remember there are no right or wrong answers. I’m not testing you, just getting to know you. This also doesn't guarantee you a puppy but a possible place on the waiting list. Thank you again for your time and I look forward to reading your application. I will contact you within a few days and if you don’t hear from me within a week please send me an email.
How did you hear about Chickadee Havanese? *
Please tell us a little about you and your home.
Name *

Prefix First Name Last Name
Spouses name if applicable

Prefix First Name Last Name
Address *

Mailing Address

If your mailing address is not your location please add that here. For example: County address

City Province

Postal Code
Phone Number *
Please enter a valid phone number.
Email *
example@example.com
How many adults live in your home? *
How many children live in your home or visit? Please list ages. *
If you have young children in the home or children visiting please tell us a little about how they interact with small dogs. *
Who will be the primary caregiver(s) of the puppy? *
Please check all that apply to your living arrangements. *

Own Rent Apartment, Condo, Duplex, Row Housing House in town Acreage Live with parents or friends Other
Is your yard securely fenced? *

Yes No n/a other
If you do not have a fenced yard please share how you will keep your puppy safe.
If you rent, will you provide your landlord's contact information? *

Yes No n/a
What is the energy level of your home? *

Busy/Noisy Moderate Quiet
Please tell us about your pets, current and past.
Do you currently own any pets? *

Yes No
If yes, please list breed, age, sex, if they are spayed/neutered. If they are not spayed/neutered please share why they are not.
If you currently own other pets do you feel they will be accepting of a new puppy?
Have you ever surrendered to a shelter or back to the breeder, rehomed or had to euthanize a dog? *
If yes, please explain the circumstances.
Please tell us what you are desiring in a Havanese puppy.
When are you looking to purchase a Havanese puppy? *

As soon as one comes available Within 6 months Within 12 months Within 24 months
What sex?

Male Female No Preference
What ages are you interested in? Choose all that apply. *

puppy 8 - 12 weeks 12 weeks - 6 months 6 months to 12 months 12 months or older A retiring show dog/breeding dog I would be interested in knowing more about being a permanent guardian home. (Preference given to homes in Grande Prairie, Alberta)
What is your main purpose in purchasing a puppy? Please choose all that apply. *

Family pet Conformation Performance Breeding
Do you have a preference in color? If yes, please list in order of preference. *
Are you aware that we don't place puppies as gifts or during a major holiday and all family members must be in agreement? *

Yes No Can we discuss this?
Are you aware that our pet puppies are placed on strict non-breeding contracts and they MUST BE spayed or neutered between 8 to 12 months? *

Yes No n/a inquiring about a show puppy
Have you owned or met a Havanese? *

I have owned. I have met. No
Why do you believe a Havanese is a suitable choice for your home? *
If there are any pet allergies in your home please explain why you think a Havanese would be a good choice as a hypoallergenic pet.
Please tell us a little about training, health and overall care.
How will the puppy/dog spend it's average weekday? Will there be someone home on a regular basis? What is your ideal day for your dog? Where will your Havanese be housed when no one is home? *
I don't know is also an answer. We can talk about it.
Where do you plan for the puppy to sleep at night, especially during the training period? *
I don't know is also an answer. We can talk about it.
When you need to leave your dog for a vacation or another reason what would your plans be for care while you are away? *
Are you aware of the grooming requirements for this breed? *

Yes, we are experienced No, willing to learn Currently Researching or wish for the breeder to help us.
Many small breed dogs need routine teeth care in their adult years. If teeth are brushed often it will prolong the need to visit a vet for a cleaning. Teeth cleaning can range anywhere between $250 to $1500. Prices vary from one clinic to the next. Are you aware dentals are very important for the overall health and wellbeing of your dog? Are you willing to take on this expense as your dog ages? Please share your thoughts, comments and questions. *
Are you aware of nutritional needs? Food, treats etc *

Yes No Currently Researching or wish for the breeder to help us.
If you currently own a dog, what are you feeding?
Do you have any questions or comments about nutritional needs? For example, kibble vs raw or different brands of kibble?
If you currently own a dog, do you vaccinate him/her yearly?

Yes No
If you vaccinate yearly, are you willing to follow a modified vaccination schedule with a new Havanese puppy/dog?

Yes No
Almost done!
Are you willing to stay in touch with us for the life of the dog so we can keep track of health, certain structure aspects, and enjoy pictures of the dog with it's family? *

Yes, that would be great We could discuss that with you Not really
Does Chickadee Havanese have your permission to use pictures and messages from you and your puppy on our Facebook page and website? Full names will never be shared nor private information.

Yes No
Are you willing to do an online meeting with your family and to do a virtual home visit? *

Yes No
Do you have a veterinarian? *

Yes No
If yes, please provide your veterinarian's name and phone number.
This may be used as a reference.
Do you have a groomer? *

Yes No
If yes, please provide your groomer's name and phone number.
This may be used as a reference.
Are you willing to provide character references if asked? *

Yes No
If there was a situation where you could not care for your dog anymore what would your ideal plan be? Our contract states that we have first right of refusal, a lifetime return policy and require owners to contact us for the life of the dog. Do you agree to contact us? *
.
Do you have questions, comments or anything else you'd like to share with us?
Thank you, your time is greatly appreciated!
By submitting, I certify that the above information is correct and it may be verified by providing references.

I understand this is only for the purpose of being considered for a havanese puppy and does not guarantee my place on a waiting list.
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Please tell us a little about you and your home.

Please tell us about your pets, current and past.

Please tell us what you are desiring in a Havanese puppy.

Please tell us a little about training, health and overall care.

Almost done!

Thank you, your time is greatly appreciated!