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R Farm & Kennel

Adoption Application

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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,

"ALL FIELDS ARE REQUIRED", 

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)".

 Name:___________________________________________________________________

 Address:_________________________________________________________________

________________________________________________________________________

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  ___

Other:_________________________________________________________

 FENCE / YARD / CRATE INFORMATION

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

HOUSEHOLD INFORMATION

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

OTHER ANIMAL INFORMATION

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

Please list breed, size, and gender of

each:______________________________________________________________

___________________________________________________________________

 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

other:______________________________________________________________________

 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:________________________

Address:____________________________________________________________________

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

___________________________________________________________________________

___________________________________________________________________________

PREFERENCES

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

_____________________

 SEX

I would like a ___female  ___male  ___no preference

 COLOR

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, http://www.minpinrescue.org/