Questionnaire – Los Arriba Havanese

Are you interested in a Havanese for a companion?

Name *

First

Last

Email *

Occupation:

Physical Address: *

Please include city and state

Phone Number:

Residence:

Are you ready to take a puppy home at this time:

Age of each member of the household:

Current Pets:

Do you have a gender preference for your Havanese pup?

Are you willing to sign a spay/neuter contract if purchasing a companion?

Do you have a fenced yard secure enough to hold a small dog?

Do you have age preference?

How many hours per day will the puppy be left without human company?

Are you prepared to housebreak and socialize a puppy:

Are you aware of the costs involved in veterinary care, including spaying and neutering, purchasing a good quality dog food, boarding the dog when you are away, etc?

Are you aware that you are taking on the responsibility of another living creature who will, for the rest of its life, be dependent upon you?

How did you hear about us?

Are there any questions you have for us?

Permission & Agreement *

I agree

I understand that the information provided above is true and accurate to the best of my ability.

Email *