Family Questionnaire Form

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CAR-RAE

Member: BMDCA, CWCCA, INWBMDC

AKC Junior Showmanship Judge

AKC Conformation Permit Status (Bernese Mtn Dogs, Dachshunds, Cardigan Welsh Corgis) #5089

BMDCA Draft Judge, SBCA Draft Judge

HOME
CAR-RAE'S HISTORY
BERNESE MOUNTAIN DOGS
CARDIGAN WELSH CORGIS
ENGLISH COCKER SPANIELS
BEFORE BUYING A PUPPY
IMPORTANT INFORMATION
FAMILY QUESTIONNAIRE
FUTURE LITTERS
MEMORIALS
More

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Family Questionnaire

First name

Last name

Phone

Address

List social media accounts (Facebook, Instagram, etc.)

How did you hear about us?

Friends

Social Media

Internet Search

Met at a dog show

BMDCA Breeder Referral

INWBMDC Breeder Referral

CWCCA Breeder Referral

Other

Which breed are you inquirying about?

Bernese Mtn. Dogs

Cardigan Welsh Corgis

Check all that apply *

No one in the home has ever been investigated and/or convicted of animal abuse

There is someone home during the day (all day)

There is someone home during the day (part of the day)

Someone is not home during the day (home during evenings)

There are additional pets in the home

Additional dogs in the home are spayed and/or neutered

Have a fenced yard

Live in an apartment with exercise area

Puppy will attend puppy manners class and/or obedience training

Welcome to a home visit by you or a local breeder

Have read and agree to the terms in the sample, online contract

I do not intend to breach the companion contract and breed the puppy

I agree to get the health testing required for the breed stated in the contract

I prefer a male puppy

I prefer a female puppy

Gender of puppy is not important

Elaborate on any of the items checked or unchecked above. Please list the type of activities your family enjoys, ages of children in the home, types of additonal animals in the home and any additonal information you would like to include.

Thank you for your interest. We will get back to you soon via email.

Details

Emmett, Idaho

208-477-8137

madowski@aol.com

Link to Family Questionnaire

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