Bichon Frise Application
Please Print, Complete, & Mail to the Breeder. Don't let the number of
questions intimidate you. Answer as many questions as you can.
This will help ensure everyone is happy !
{Since web pages print differently based on the printer used, this has been
numbered--47 items. Review to ensure you have complete form. Problems
printing? Check your Browser's "File:" "Page Setup:" "Paper Size" setting.}

                                                                                      (1)Date:________________

(2)Name:______________________________________________________

(3)Address:____________________________________________________

(4)City / ST / Zip:________________________________________________

(5)Phone (h):__________________________ Email:____________________________

(6)Phone (w):__________________________
{Long Distance Calls Will Be Returned Collect})

(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
considered "high maintenance" because they are white and the type of coat:_________

________________________________________________________________________

(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
championship OR do you know you do not want to consider this:

________________________________________________________________________

________________________________________________________________________

(15)Do you understand that you will be required to sign an Agreement where you will agree
to maintain the health and well-being of the Bichon; where you may be required to provide
proof of such; that if the dog is being placed as a pet, you will not be able to breed the
Bichon and will be required to spay/neuter the Bichon; and where the breeder may retain
an ownership interest in the dog (i.e. may remain as a co-owner):

________________________________________________________________________

(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
frequent, OR occasional, intermittent, at "certain times"):

________________________________________________________________________

(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:____________________________
{Lease: Please submit Owner/Management documentation allowing Dog.}

(34)Neighborhood--Urban/Rural:_______________________________________________

(35)Fenced Yard--Yes/No:________ Fence Type/Height:____________________________
{Not having Fenced Yard is not necessarily a reason to not be considered for a dog.}

(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
records concerning my past or present care of animals to whomever may present this
application in person, by mail, or by fax and I do hereby agree to hold harmless and
indemnify said Veterinarian for providing such information.

Signature:_________________________________________ Date:______________
{NOTE: Providing this application is not an Offer to sell a dog.  Also, submission of an
application is not an Acceptance of an Offer and does not in any way guarantee that you
will be considered for a dog or that one will be sold and placed with you.}