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How do you prefer to be contacted?
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Select the time of day you prefer to be contacted. (Select all that apply)
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Select the day(s) you are available. (Select all that apply)
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What type of home do you live in?
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Do you own or rent your home?
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What is your landlord's name and phone number?
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Do you have a fenced in yard or suitable pen to exercise your dog/puppy?
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17
Please explain how you plan to exercise your dog/puppy.
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Do you have any children, or do you plan to have children in your house regularly (more than once per week)?
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19
Please list all household members (no pets here).
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Please list relation and ages.
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20
What is your household activity like on a day-to-day basis?
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Does anyone in your household have any allergies?
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If so, please explain.
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Is everyone in the family aware of the possible addition of adding a dog/puppy to the household?
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24
Explain why the whole household is not in agreement or aware of the dog/puppy.
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25
Have you owned any pets in the past or currently?
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Yes, I have owned and been responsible for pets before or currently.
No, this is my first pet.
Other
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26
What aspects of your lifestyle do you feel would be of the MOST importance for your dog to fit in well with? For example, do you have grandchildren who visit on occasion, would your dog go to work with you and need to have excellent social skills, do you live in an active or loud home that could be frightening to a shy dog? etc.
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27
Please list any pets that you have/had.
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Species/Breed? What is the age when you added them to your household? How old are they or how long did they live? What happened to them if they passed or why were they rehomed?
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28
Have you ever rehomed a pet? (Including a shelter/rescue).
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29
Please explain.
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Have you ever returned a pet to their breeder?
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31
Please explain.
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32
What would you do if you could no longer keep the dog due to a reason beyond your control?
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33
Pet puppies from Costerra are sold on a spay/neuter contract and limited registration (no breeding rights). Does this present a problem for you?
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34
Explain why this would be an issue for you.
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Do you travel? If yes, what will you do with the dog when traveling?
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36
Explain to us why you chose the Kerry Blue Terrier for you and your family!
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37
How soon are you looking to add a dog/puppy to your household?
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(i.e., ASAP, within a few months, less than a year, more than a year, etc.)
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38
Kerry Blue Terriers require professional grooming every 4-6 weeks. Is this a problem for you?
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39
Describe the dog's diet (brand of dog food, supplements, treats, etc). Are you willing to consider our recommendations in regard to the dog's diet?
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40
What type of home would you classify yours to be? Select all that apply.
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This is the type of activity that you are interested in doing with your new dog.
Companion/Pet home
Performance home (Competition in obedience, rally, FastCAT, barn hunt, etc.)
Conformation/Show home
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41
Are you interested in a male or female dog/puppy?
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Female
Male
No preference
I prefer a female, but I am open to the right male
I prefer a male, but I am open to the right female
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42
At what age do you prefer to get a dog/puppy at?
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As early as possible
10-12 weeks
4- 6 months
6 months- 1 year old
Adult (>1 year old)
Other
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43
How long will the dog/puppy be left alone at home at a time?
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44
Explain how and where you will keep the dog/puppy during the day/night.
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45
Do you plan on crate training?
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46
If not crate training, how do you plan to contain your puppy when not home or in general?
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47
Have you ever house trained a dog before?
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48
Will you be attending any training classes?
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49
If yes, please list and where at. If not, how do you plan to train your dog/puppy?
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We love to hear places to suggest and hearing where our puppies will be educated!
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50
Do you have a regular veterinarian?
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Stand-alone vaccination clinics and primary emergency centers are not acceptable forms of primary care. This is where you will take your pet for visits when you seek care for prevention and non-emergency care.
Yes
No, this is the first dog I have owned, and I plan to use this vet.
No (Provide most recent contact)
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51
Veterinarian's Clinic Name
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52
Veterinarian Phone Number
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53
Veterinarian's Email
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54
Clinic's Address
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Street Address
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City
State / Province
Postal / Zip Code
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Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
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Honduras
Hong Kong
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India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
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US Virgin Islands
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55
Please list any other additional questions or comments here. We love hearing more about you! If there is anything else we should know, or just general comments you have please put them here!
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56
Do you understand that though we will take your preferences into consideration, ultimately, we will select your puppy for you?
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57
Accept these terms to submit and finalize your applications.
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I am aware that this application is not a guarantor for a dog/puppy from Costerra Kerry Blue Terriers, nor a contract of sale. This application has been filled out to the best of my knowledge and voluntarily. I am aware that at any time, Costerra Kerry Blue Terriers may decline my application with or without notice. If my application is accepted, I will be contacted and informed of next steps which may include phone interviews and home visits.
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Costerra Kerry Blue Terrier - Dog/Puppy Application
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