** Name:
** Address:
** City:
** Province/State:
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
North West Territories
Nova Scotia
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
Washington DC
Delaware
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
Washington
Wisconsin
West Virginia
Wyoming
** Postal Code/Zip:
Phone:
** Email:
Best Time to Call:
The following questions are not intended to be critical or judgmental.
The answers will help us to establish the right breeder/prospective owner relationship.
It may even result in your realising that a Border Terrier is not the right breed for you.
When we place a puppy or adult in a new home we want the placement to be a happy situation for you and your family as well as for the dog.
The decision to own any dog may well affect the next 15 or more years of your life so we want to do our part it ensuring your choice is the right one.
Please answer all of the questions before submitting the form.
There are no wrong answers so please answer honestly.
** Have you lived with or personally owned a Border Terrier before?
Yes
No
What made you choose a Border Terrier and what sources of information did you use to learn about the breed?
Are you looking for a Border Terrier that you can participate with in the following activities (check as many as you like):
Earthdog Tests
Conformation
Hunting
Barn Hunt
Nose Work
Obedience
Rally
Therapy
Tracking
Agility
Flyball
Breeding
Do you have a strong preference for male or female?
Male
Female
No Preference
If you have a preference, please explain why.
** How would you describe your accommodation.
House
Apartment/Condominium
** Do you own or rent
Own
Rent
How would you describe your location?
Rural
Urban
Suburban
** Do you have a completely fenced yard suitable for a dog?
Yes
No
If the answer to the above is "yes", please describe the fencing.
If no fenced yard, how will you handle a puppy/dog's exercise and toilet needs?
** Are you aware that the Border Terrier coat needs to be stripped (not clipped) two or three times a year and will require more frequent attention if you wish to keep the neat short-coated appearance commonly seen in the show ring today?
Yes
No
What are you plans for maintaining your Border Terrier's coat. (Do it yourself? Local groomer? Etc..
** Is it important to you to walk with your dog off leash?
Yes
No
Please list all the adult members of your household with their ages.
If you have children at home or regularly visit your home please provide their
ages and experience with dogs.
Please provide information on any other pets you currently own.
Please provide information on any dogs you have owned in the past and the circumstances under which they left your household.
How long will your dog need to be alone and what arrangements are you considering?
Where would you leave the dog while you were out of the home? (you may select more than one answer):
Free run of the house
Confined to part of the house
Crate
Other
Please specify
What plans do you have for your dog when you go on vacation
What, if any, training/socialization classes do you expect to take your puppy/dog to?
** Are any members of your household allergic to animals?
Yes
No
If "Yes", please provide information on the allergies and why you feel a Border Terrier will not be a problem in this situation
Who will be the primary caregiver for your Border Terrier?
Please describe your lifestyle and those activities that you enjoy and hope to share with your puppy/dog
Please use the space below if there is anything else you would like to tell us or any specific questions you would like to ask.
Thank you for taking the time to fill in this questionnaire. We hope that it has helped you think through the serious decision to add a new canine member to your household and we look forward to continuing this conversation.
Sincerely Pam Dyer