Vizsla Club of Central New England

Red Dog On PointVizsla Club of Central New England


Information Submission Form
First Name: Last Name:
Street:
City: Email:
State: Phone:
Zip:
What is your preferred gender?
Male   Female
Do you have children?
Yes
No		 Do you currently own a dog?
Yes    No
if yes, how many, sex, species and age?
How will your pet be trained?
 Professionally
Personally
If Professionally, by who:
 Have you previously owned a dog?
 Yes     No
If Yes, how long ago:

What the disposition of the previous dog(s)? (i.e., sold, euthanized, lost, etc.)
What is your puppy timeline?
 0-3 Months
3+ Months		 What will be  your pets environment?
Indoors
Outdoors
What is your use for this particular pet?
Pet
Show
Hunting
Other: 		How will the dog be housed?
Single Shelter
Shared Shelter
In-house
How many hours will the dog be left unattended in a day?
 When is the best time to contact you?
Is there anything else you would like to tell us?


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