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Thank you for filling out the form below.
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The field marked with (*) are required fields.
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Full Name:
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Full street address
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City, State, Zip Code
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Please enter phone numbers to contact you in order of preference Home, Work, Cell.
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please enter your e.mail address:
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1. What type of house do you have and how large is it (ie. Single Family Dwelling, Aptartment, Condo, Farm, ect.)?
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2. How Many People are in your household?
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3. Are there any children in your household If so how many and what are their ages?
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4. Are there any other dogs in your household?
If so what breed, sex, spayed or neutered, and age?
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5. Are there any other pets of any type in the household if so how many and what type?
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6. Do you or anyone in the household have any experience caring for dogs? If so what type of experience do they have?
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7. Do you have a Fenced in yard?
If so how tall and what type of fence?
How large of a yard or area of the yard is fenced?
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8. If you do not have a fence how do you plan on taking your dog out to relieve itself (ie. on leash, in a run, let it run loose, ect.)please explain?
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9. Is there someone home all the time?
If not how long of a period of time do you forsee the dog being left alone?
What do you plan on doing with your dog when no one is arround?
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10.Do you plan on leaving your dog outside for extended periods of time? If so approximately how long?
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11.Do you realize that Portuguese Water Dogs require frequent brushing in between grooming? Are you prepared to do this in order to keep the coat from matting?
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12. Are you willing to have your dog groomed every 4-6 weeks?
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13.How do you plan on grooming your dog ie. professional or yourself? If yourself, what experience do you have and are you willing to learn?
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14. Do you realize that professional grooming of a Pet Portuguese Water dog can range from $40.00-$75.00 depending on where you are and how well you keep up on the coat inbetween? Are you perpared for this?
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15. Are you interested in joining the Portuguese Water Dog Club Of America?
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Yes
No
Already a member
Don't Know Yet
Would Like More Information
Not intrested at this time
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16. Do you plan on involving your dog in family activities, ie. jogging, swimming, fishing boating, ect?
please explain what type and how often?
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17.Where do you plan on your dog sleeping at night?
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18.Is there a sex preferance Male or Female?
If so Why?
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19. What type of coat are you looking for?
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curly
wavy
dosn't matter
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20. Is there a color preference check any and all that apply?
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Black
Brown
Black and White
Brown and White
White and black
White and Brown
Doesn't Matter
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21. Are you interested in: (check any and all that apply)
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Conformation
Agility
Water Work
Obedience
Therapy work
Breeding
Family Pet/companion
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22. Are there any other activities you might be interested in involving your pet in?
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24.If you do not plan on showing your Portuguese do you have any objections to spaying or neutering? If so please explain.
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25. Are you aware that this breed can be very destructive? Please explain:
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26.Please explain what has brought you to this breed.
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27. What if anything do you know about this breed?
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28. Who will be the primary caretaker of this dog? If not you Please explain why and what if any dog experience this person has?
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29. Please tell me anything about yourself and your family or situation that you think might help me in placing the right dog with you:
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30. Please explain the activity level you are looking for in a dog?
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31. Select the age that best describes what you are intrested in:(check all that apply)
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9-12 weeks
12-16 weeks
16 weeks to 6 months
6 months to 1 year
1-2 years
2-3 years
3-5 years
over 5 years
doesn't matter
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32. How long are you willing to wait for your new addition to your family? Keep in mind it usually takes 5 months at least from conception until pups are ready to go to new homes.
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33. Provided you are approved when will you be ready to accept your new addition?
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34. Are you aware that the price for a Portuguese Water dog can range from $1800.00 to $2500.00?
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yes
no
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Are you prepared for that?
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Yes
No
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35. Please explain how you heard about Augustine Kennels:
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