Application Form

Please complete this application accurately, it is the first step in acquiring a Seabury Portuguese Water Dog puppy. Your information helps us select the best puppy for you and your family.

Full Name

Street Address (P.O. etc.)

City/town:

Province

Postal Code

Telephone Number

Questions for you

Have you researched this breed?

Have you every owned a PWD before?

Yes No

If NO, why do you want a PWD now?

If YES, do you still have the dog?

If YES what is the gender

Male Female

If YES has if been spayed or neutered

Yes No

If YES what is its age

Do you have any experience with large dogs?

Yes No

Have you owned dogs before?

Yes No

If YES what happened to them?

Do you have any other pets?

Yes No

If YES please describe

Do you groom your pets yourself or do you have them professionally groomed?

I groom them myself I have them professionally groomed

Do you live in a house or apartment?

House Apartment

Do you rent or own?

Rent Own

If you rent does your rental agreement allow you to keep dogs?

Yes No

Do you have a yard?

Yes No

If YES is it fenced?

Yes No

If NO how do you plan to exercise your PWD?

How many people in your household?

Do you have children in your household?

Yes No

If YES how many and what are the ages

Is everyone in your household agreeable to adopting a PWD?

Yes No

Does any member of your household have allergies?

Yes No

If YES please describe

Who will be the main caregiver?

Are you prepared to assume the financial responsibilities of caring for an animal, including inoculations, veterinarian care, good quality food, licensing, etc?

Yes No

Are you familiar with the animal control regulations in your area?

Yes No

Are you prepared to participate in formal dog training classes to make your pet a good canine citizen?

Yes No

Is someone home during the day?

How many hours will the puppy be left alone during the day?

Where will this PWD spend his or her time while you are gone?

Where will this PWD sleep?

Are you willing to allow us to visit your home before or after adoption? (by appointment)

Yes No

What provisions will you make for this PWD when you go on vacation?

Questions about the dog

Do you have any preference regarding sex?

Yes No

If YES please specify

Male Female

Do you have any preference regarding colour?

Yes No

If YES please specify

Do you have any preference regarding coat type?

Yes No

If YES please specify

Curly Wavy

Do you have any preference regarding age?

Yes No

Would you consider an older dog?

Yes No

If YES to what age?

Would you consider an improper coat? (may shed or cause allergic reaction)

Yes No

Are You willing to take a PWD with a medical condition?

Yes No

(Please understand we will choose the most appropriate puppy considering the puppy’s temperament, energy level to match your family’s lifestyle and experience. You will not be able to choose a puppy, however, your preferences will be accommodated where possible.)

References

May we check your references and verify the information you have provided?

Yes No

If yes, provide the Name and Address of veterinarian you most often use:

Vet's Name

Vet's Address

Please provide the Name address, and telephone of individuals who
know you and have known your other animals

Reference One:

Reference One Name

Reference One Address