Bichon
Frise Application (1)Date:________________ (2)Name:______________________________________________________ (3)Address:____________________________________________________ (4)City / ST / Zip:________________________________________________ (5)Phone (h):__________________________ Email:____________________________ (6)Phone (w):__________________________ (7)Age:_______________ (8)Occupation:__________________________ Employer:________________________ (9)What is your time frame for obtaining a Dog:_________________________________ (10)Are you prepared for/Do you know the effort involved in housebreaking a Dog:______ ________________________________________________________________________ (11)Are you prepared for/Do you know
that the care and grooming of a Bichon can be ________________________________________________________________________ (12)What Sex would you prefer:____________________________ (13)Would you consider the Opposite Sex:_____________________________________ (14)Would you be interested
in/consider "showing" or having the dog "shown" to
obtain its ________________________________________________________________________ ________________________________________________________________________ (15)Do you understand that
you will be required to sign an Agreement where you will agree ________________________________________________________________________ (16)Number of Household Children:________ Ages:______________________________ (17)Number of Dogs:______ Breed/Gender/Neutered/Ages:________________________ ________________________________________________________________________ (18)Number of Cats:______ Gender/Neutered/Ages:_____________________________ (19)Other Animals/Type/Ages:_______________________________________________ ________________________________________________________________________ (20)Times/Hours Adult at Home on Weekdays:_________________________________ (21)Times/Hours Adult at Home on Weekends:_________________________________ (22)Where will the Dog stay during the day:____________________________________ (23)Where will the Dog stay at night:__________________________________________ (24)When you travel out of town where will the Dog stay:__________________________ ________________________________________________________________________ (25)What are your thoughts on the use of a Crate for your Dog:____________________ ________________________________________________________________________ (26)What are your Expectations / Concerns about getting a Bichon:________________ ________________________________________________________________________ ________________________________________________________________________ (27)What type of interactions do you want
to provide to a Dog (close, constant, very ________________________________________________________________________ (28)Briefly explain Why you believe You would Provide a Great Home for a Bichon: ________________________________________________________________________ ________________________________________________________________________ (29)What do you think the Cons/Negatives of a Bichon are:________________________ ________________________________________________________________________ (30)Is this your first Dog:__________ If no, How long ago/ Breeds/ What happened to the Dog(s)/ Vet name, phone number:_____________________________________________ _________________________________________________________________________ (31)Have you ever had to euthanize a Dog/Cat--If yes, Explain:______________________ _________________________________________________________________________ ________________________________________________________________________ (32)Your Home is House/Condo/Apt:___________________________________________ (33)Own/Lease:_______________________ How
Long:____________________________ (34)Neighborhood--Urban/Rural:_______________________________________________ (35)Fenced Yard--Yes/No:________ Fence
Type/Height:____________________________ (36)Are you planning on relocating in the future:_____________ If yes, what plans have you made for the Dog during the move and afterwards:________________________________ _________________________________________________________________________ (37)If you are no longer able to care for a Dog, who would take over the care:__________ _______________________________________________________________________ (38)Estimate your expected Monthly Grooming expenses:__________ (39)Estimate your expected Annual Vet Care expenses:___________ (40)What types of items do you expect to purchase to maintain a Bichon: ____________ _________________________________________________________________________ Other Adult Household Members: (41)Name:_______________________________ Name:_____________________________ (42)Age:_______________ Age:_______________ (43)Occupation:__________________________ Occupation:________________________ (44)Employer:____________________________ Employer:__________________________ (45)Current Veterinarian Name/Address:______________________________________ _________________________________________________________________________ (46)Veterinarian Phone:________________________ Fax:_________________________
(47) I hereby authorize any Veterinarian
named above to release any information and Signature:_________________________________________
Date:______________ |