RDA Puppy Application

Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

Preferred sex of the puppy?

Are you willing to take the opposite sex if it's a better fit for your family?

If no please explain why.

My main reason/s for acquiring a Vizsla is.

My preferences are (ie quiet, rambunctious, birdy)

Do you intend to spay or neuter your puppy?

If Yes, at what age? If NO please explain.

All puppies are sold on limited registration. (Limited Registration means that the dog is registered but no litters produced by that dog are eligible for registration) Do you understand this?

If you are interested in full registration, please explain why.

Have you ever had a Vizsla before? If NO why are you interested in this breed?

Please list the expectations you have of your Vizsla puppy:Within the first 6 months:

Within the first year:

Within his/her lifetime:

Where will the dog spend most of his/her time?

Do you have a fenced in yard?

If no how do you plan to keep your new puppy in the yard?

Do you plan to crate train?

What will the typical day in the life of this puppy/dog be like?

Do you currently have any pets? If so please list,species, breeds, ages, fixed or not fixed.

If you do not currently have any pets, what experience do you have raising/training a puppy?

Do you live in a house or apartment? Rent or own?

If you rent. Please provide landlords name and phone number

My marital status is:

Significant other's name?

Who will be the primary caretaker?

Do you have any children. Please list their name, gender and age and if they have any special needs.

Please list your occupation, your spouse’s/partner’s occupation and the number of hours each of you work per day:

Do either you or your spouse travel for work? If yes, who, how often and for how long?

Our lifestyle is:

Other

If other please explain.

I/ We participate in the following activities: Alone:

With my/our family:

With my Vizsla:

Please tell me anything else about yourself you would like me to know.

Please list 2 personal (only 1 may be family) and 1 vet reference with addresses, phone, email and relationship for us to contact. Personal 1

First NameLast Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Personal 2

First NameLast Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Vet

First NameLast Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.