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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.)?
 
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?
 
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?
 
10.Do you plan on leaving your dog outside for extended periods of time? If so approximately how long?
 
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?
 
12. Are you willing to have your dog groomed every 4-6 weeks?
 
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?
 
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?
 
15. Are you interested in joining the Portuguese Water Dog Club Of America?
Yes
No
Already a member
Don't Know Yet
Would Like More Information
Not intrested at this time
 
16. Do you plan on involving your dog in family activities, ie. jogging, swimming, fishing boating, ect? please explain what type and how often?
 
17.Where do you plan on your dog sleeping at night?
 
18.Is there a sex preferance Male or Female? If so Why?
 
19. What type of coat are you looking for?
curly
wavy
dosn't matter
 
20. Is there a color preference check any and all that apply?
Black
Brown
Black and White
Brown and White
White and black
White and Brown
Doesn't Matter
 
21. Are you interested in: (check any and all that apply)
Conformation
Agility
Water Work
Obedience
Therapy work
Breeding
Family Pet/companion
 
22. Are there any other activities you might be interested in involving your pet in?
 
24.If you do not plan on showing your Portuguese do you have any objections to spaying or neutering? If so please explain.
 
25. Are you aware that this breed can be very destructive? Please explain:
 
26.Please explain what has brought you to this breed.
 
27. What if anything do you know about this breed?
 
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:
 
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)
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.
 
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?
yes
no

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Are you prepared for that?
Yes
No

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35. Please explain how you heard about Augustine Kennels: