Smokin Pistol Jack Russell Terriers
Puppy Application
Date
-
Month
-
Day
Year
Date
Name
First Name
Last Name
Email
example@example.com
Phone Number to reach you at.
Can I text this number?
yes
no
Email only please
Address dog will live? ( No P.O.Box )
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Sex Preferred, Please indicate 2 options.
Female
Male
Ill wait till next litter if none are avaliable.
I'm willing to take opposite sex if none is avaliable.
Do you own or rent ? How long have you lived there? Please be honest! It is public record.
If you rent, is your landowner okay with you having a dog in the house?
Do you have children under the age of 18? What are their ages? How many?
What is your job? How long have you been there?
What is your work schedule like ? How many hours each day do you work away from home?
Have you or your spouse ever owned a Jack Russell Terrier before. How many?
Is your yard fenced? If so how tall? Type of fencing.
Are there other animals on the premises? Please give all details of each species.
Are you willing to provide vet records if asked ?
What made you want aJack Russell? What makes you think that this breed is right for you? ( please elaberate on the lifestyle you enjoy day to day)
Do you crate train?
Puppy is to be spayed and nuetered( sterilized) by 24 months off age.
Okay
I would like to keep intact
I would like to discuss breeding options.
If the applicant is unable to care for the dog at any point of their life. You do undertand that the dog MUST return to the breeder at no cost witht he papers related to the dog. All transportation cost will be handled by the purchaser to get the dog back into city of where the seller resides.
Okay
I would like to choose where my puppy lives if i cannot house.
Is there any other details or questions that you would like to share with me.
Submit
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