Puppy Application
Please be as thorough as possible when filling out the application. Note by submitting this application that this is for information purposes only to determine your suitability for a Prairie to Shield West Highland White Terrier. Puppy list wait times very and could be 12-18 Months at this time.
Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Current Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please tell us about yourself
*
How many Adults and Children in your home?
*
Do you own or rent your home?
*
Do you have a fenced yard? If yes please describe what type of fence.
*
If you do not have a fence please describe your plans for confinement.
Please list any other animals currently in your household
*
Have you previously owned a dog? What Breeds?
*
Have you ever Re-homed or surrendered a pet?
*
Yes
No
Rather not say
If yes, Please explain the circumstances behind the situation and decision.
Have you owned a West Highland White Terrier before?
*
Please explain why WHWT is your breed of choice
What are you looking for in a West Highland White Terrier?
Companion and Loving Pet
Show Prospect
Breeding Prospect
When are you hoping to add a puppy to your home?
*
In 3-6 Months
In the next year
In the next 1-2 years
Planning for the distant future
On average how many hours will the dog spend home alone?
*
Less than 1 hour
2-3 hours
4-6 Hours
7-9 Hours
10 + Hours
Where will the puppy sleep at night or when you are not home?
*
Are you looking for a Puppy or Adult Westie?
Puppy
Adult
Considering Both
What Gender do you prefer?
Female
Male
Open to Either
If your preferred gender is not available would you consider a puppy of the opposite sex?
Yes
No
Will you be obtained Insurance for the puppy or are you able financially to handle any Veterinarian bills that may occur?
*
If needed do you have a trusted person to watch the puppy in case of emergency or while you are on vacation?
*
Yes
No
Do you understand that if at anytime, under any circumstances should you no longer be able to fulfill your commitment to raising a Prairie to Shield Westie for the the entire lifetime of that Westie, It is to be returned to us as the breeder. Under no circumstances should the canine be placed into a shelter, breed rescue or with any other individual without the approval of the Breeder.
*
Yes, I understand
No, I do not agree
Submit Form
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