Puppy Application Form

First name

Last name

Phone

Address

Does your house have a fully fenced and secure yard?

Do you own your home or is it a rental? If you rent do you have permission from your landlord?

Do you have any children? If yes what are their ages?

Biewer Terrier life spans are 12 to 16 years, are you ready to make that commitment?

Do you have any health conditions/disabilities that may limit your ability to exercise a dog?

Do you work full time?

What hours will the puppy be left alone?

Have you owned a dog before? If yes, what breed and how long ago?

Do you own any other pets? ie another dog (list age, breed & sex) cats, rabbits, birds, etc.

Have you researched about our breed? Are you willing to be consistent with training the new puppy?

Male or female puppy?

Do you already have a veterinarian?

Do you intend to insure your puppy?

Are you aware of the costs associated with keeping a dog?

Tell us anything else you think may be important about yourself.

Lastly - how did you find out about us?