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R Farm & Kennel

Adoption Application

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Rat Terriers
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Miniature Pinschers
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Thank you for considering one of our babes to add to your family. We are very selective to whom we place a dog with.  If you would like to be considered for one of our puppies, fill out the questionnaire,


and we will get back with you promptly.

Being a breeder for the betterment of any breed means being responsible for all our puppy(s), and dog(s), pet or breed/show. Therefore, At R Farm & Kennel,

"We take back any of our puppy(s)/dog(s), any time for all reasons if you need to relinquish one of our puppy(s), or dog(s)".




State______________, Zip,_________________Country___________________________

Home Phone:______________________________

Work Phone:____________________________________

 Best Time to Call:________________

E-Mail ___________________________________________________

 If you rent, do you have the landlord's permission to keep a dog? _____________

Landlords Permission must be obtained!

Do you live in a: __House  ___Apartment ___Townhouse  ___



Do you have a completely fenced yard suitable for a dog? ___Yes  ___no

Do you have a kennel run? ___Yes  ___no

Describe fence or kennel run - type, height and size:



If no fence or kennel run, how will you handle the Beagle's exercise and toilet needs?


Do you have a suitable dog crate? ___Yes  ___no

If no, are you willing to purchase one?  ___Yes  ___no


How many adults in the house hold? _______  Children? ____________

Age and gender of children:


Are any members of you household allergic to animals?  ___yes  ___no

Who in the household will have the main responsibility of caring for this pet?


How many hours a will the dog be alone? ____________________________________

Please describe your lifestyle:  ____active  ____ passive   ____ in-between

What type of floors are mainly in your home? smooth/tile/or, carpeting


Do you own other dogs?  ___yes  ___no    Spayed / Neutered?  ___yes  ___no

Please list breed, size, and gender of



 Any other animals? ____yes  ____no  

if yes, please describe:



 How many dogs have you owned in the past five years? _____________

If you do not still own the dog(s), please describe what happened to it (them).  Please be specific.


 Have you ever returned a pet to the breeder?  ___yes  ___no  

If so, what were the circumstances?



Have you ever given a pet away?  ___yes  ___no         If so what were the circumstances?


 Have you ever taken a pet to the pound or shelter?  ___yes  ___no  

If so, what were the circumstances?


Have you owned a Rat Terrier before?  ___yes  ___no

Why did you choose this breed?



 Do you know what this dog is bred to do? ___yes  ___no   

If so what?


 What activities do you plan on doing with this dog?

___Pet  ___Conformation ___Hunting ___Obedience ____Agility  ___ Field Trials


 Will you be attending any training classes?


Do you plan on keeping this dog/puppy primarily?  ___indoors  ___outdoors

Where will the dog/puppy sleep?


Do you have a regular vet?  ___yes  ____no

Name: ________________________________________Phone:________________________


References of two friends or family members, names, address, and phone:




 At what age would you like to get the puppy? {NO BABE IS PLACED UNDER THE AGE OF 12-14 WEEKS!}



I would like a ___female  ___male  ___no preference


I would prefer a: ______, or, ______no preference

Do you plan on breeding, or showing this dog?  ___yes  ___no  ___not sure

If so why?




Thank you for investing this time in your search for a new for-ever family member!

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Copyright © R Farm & Kennel 1989

The images on my pages are available for viewing only and may not be used for any other purpose, unless other wise stated by me. The images or pages may not be linked to, copied, printed, or posted to other web sites without the permission of Kimberley Elmore Petross.

The United States of America provides the right and the protection of  “Original Works of Authorship” and certain "Intellectual Property Works." As the Owner of copyrighted works I hold the exclusive rights to duplicate, distribute, and create derivative works from my works. All the text, photographs, images, products, art work, their titles, descriptions, and designs, used on my web site as well as the finished products which I design, create, or produce, are protected under the

*** U. S. Copyright Laws (Title 17, U.S. Code). ***

I WILL seek, accordingly, to protect my, or other's  works and rights against unauthorized use and infringement. Please note, a criminal investigation WILL be initiated in cases of willful infringement for profit or any and all other unauthorized use of my work.

Please note;  I cannot recommend or approve of the ads Tripod adds to the top or bottom of each web page. Please be certain you research all products, services, and in what to look for in a ethical breeder, or services when searching for your forever future pet, or better yet, consider adoption from a well established pet adoption agency with great references!

For Miniature Pinscher adoption, a wonderful place to start is, IMPS,