Cristalmar PWDs Adoption Application

 

The following questions are being asked of you so that we can meet the right home for the right dog bringing the various requirements of both the portie and his new family into perspective, BEFORE a choice is made. I hope you agree that the animal's welfare must be our  foremost  thoughtfulness in considering a responsible acquisition.

Thank you so much. Jose Fontes               

Your full name:

Your email address: (e.g.: you@aol.com). We will notify you of the receipt of your form with this address.

Your phone number (country, city, area codes):

Address:
City/Town:	State/Prov.: Post./Zip Code:
Country:	Occupation:

  Type of dwelling: House  Apartment Condo 

  Please describe it . Such as pool, fenced yard, fence type and height etc   

PERSONAL DATA

Age:   Relationship Status: Married/Long Term Relationship Widowed Single

If Married or in a long term relationship:
Your Spouse/Significant Other full name:

Your Spouse/Significant Other occupation:

Does your spouse or significant other know and approve of owning a PWD?  

Children?  If yes, what is/are their name(s) and age(s)?

Other pets?  If yes, please give the names and describe type, breed, sex, and age of each:  

Are your pets spayed/neutered?  Please specify which one(s)

 

Do you have a veterinarian? His/her name and address please.  

If you have had a dog before, describe the dog you owned and what happened to him/her?

 

Why are you interested in owning a PWD? What are your expectations?

Have you ever owned a PWD before? If so, what did you enjoy most about it? 

Where will the dog stay during the day?

 

At night?

YOUR PREFERENCES

I am most interested in a:    Male     Female    Either

I prefer a hair type of:    Curly     Wavy    Either

My  preference is a coloration of :   

 Basic Black   Brown   Black w/ wht marks  Brown w/ wht marks   No Preference

   Please, check whatever is applied to you:

I am interested in enjoying my Portuguese Water Dog as my companion dog.  

I am interested in obedience/agility/therapy.  

I am interested in showing/breeding  

     Please, tell me more about your interested: 

  

I am interested in :( Please check it all that apply)

  a  puppy (from 3 to 9 months old)

  young adult  

Considering that you are interested to get an adult dog , please  , tell about it

 

 What characteristic(s) are you looking for in a PWD?

Do you have any concerns or questions about the breed?

What particular reasons drive you  to import the Cristalmar Portuguese Water Dog? .

Yes, I am aware that Cristalmar reserves the right to refuse to provide a dog to ANY applicant for ANY reason.  

Where did you hear about Cristalmar?

 A Friend    Web Search    Breeders List    Other Source, please explain in comments.

What are your family favorite things? How is your family daily life?

.

Comments?  Suggestions? Any questions?

Thank you for taking your time to complete this questionnaire.

We will contact you as soon as possible.