The following questions are being asked of you so that the right puppy and the right placement of each puppy is made by bringing the various requirements of both the puppy and his or new owner(s) into perspective, BEFORE a choice is made.  We hope you will agree that the animal’s welfare must be our foremost consideration in considering a placement.
Please answer the following questions as completely as you can, and return this form when you’ve finished.  Please be advised that we will contact references, landlord and veterinarians listed.  If you think we’re being a little nosy with all these questions, you’re right!  We are!  Because the quality of homes and subsequent quality of care that we decide our puppies go to is of the utmost importance to us.


Phone (home):____________________  work: _________________________________________

Email: _________________________________________________________________________

•Referred by: ______________________________________________________________________

•Type of dwelling:      house____      condo____      apartment ____     mobile home ____

•If renting, please give name and address of landlord: ____________________________________________

•Name, address and phone number of your veterinarian:__________________________________________

1.Who will be the primary care giver? _________________________________________________________

2.Where will the puppy be kept during the night? ________________________________________________
(Puppies will be started on crate training before leaving the breeder)

3.Where will the puppy be kept during the day? _________________________________________________

4. Is anyone home during the day?____________________________________________________________
(While working families are certainly not precluded from purchase, Havanese are very social little
animals and having someone at home with them during the day would be the preference.)

5.How many hours on the average will the puppy be left alone? _____________________________________

6. Will there be someone available to feed and exercise the puppy during the day? _____________________

7.Have you ever owned a dog before? __________________________________________________________

8.Do you have any other animals? ____________________________________________________________

9.  Are you interested in a male or female puppy and why?_________________________________________  (If you are looking for a specific color, keep in mind that Havanese can change color multiple times during their lives and color should not be the #1 criteria for selection)

10. At what age do you wish to get the puppy?________________________________________________
(Puppies WILL NOT leave before a minimum of 8 weeks, preferably 10-12 weeks – after at least one
set of puppy shots)

11. Have you considered an older dog instead of a puppy?_______________________________________
(Havanese Rescue [havaneserescue.co] has some beautiful examples of the breed who are very deserving of good homes)

12. Do you have a fenced yard or suitable pen? _______________________________________________

Since I am not proficient enough with websites etc. to make this a fillable form (!) – please print off, fill in and mail to us at:  17333 Fairway Drive, Athens, Al  35613.  If you scan the completed form  to a file or take a phone pic, you can also email to SF8411@yahoo.com and, lastly, if you would like to call us at 1-256-232-8288 we can go thru the form on the phone, item by item.   We appreciate your interest in our puppies and welcome all inquiries.