LuxRidge Puppy Application

  • YOUR INFORMATION

  • What gender of puppy are you interested in?

  • Luxridge Airedale Terriers – Puppy Application Form

  • YOUR ENVIRONMENT

  • Do you have a fenced yard?*

  • YOU, YOUR FAMILY & YOUR PETS

  • Do you have children?*
  • Expecting a child soon?*
  • Activity level - would you describe yourself? As:*
  • Is this your first dog?*
  • Is this your first terrier?*
  • Is this your first Airedale?*
  • Do you have other animals?*

  • Your interest in an Airedale

  • What types of activities or lifestyle do you imagine enjoying with your Airedale. (Check all that apply)*
  • How many hours will the dog be alone during the day?*
  • Do you agree to allow us to follow up with you by email and or phone regarding the puppy or dog?*
  • Do you agree to notify us immediately and as a priority in case of health issues, ear carriage correction, behavioral issues, change in family situation etc?*
  • Have you ever had to euthanize an animal?*
  • Have you ever had to rehome or give up an animal?*
  • Would you be interested in adopting an older dog?*
  • Are you an Airedale breeder or have you ever been involved in the breeding?*
  • How did you hear about our kennel?*
  • Should be Empty: