Name
*
First Name
Last Name
Email
*
Phone
(###)
###
####
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Birthday
*
MM
DD
YYYY
Occupation
*
Work Hours
*
Spouse or Partner's Occupation (if applicable)
Spouse or Partner's Work Hours (if applicable)
Housing Type
Single family home
Condo/apartment
Townhome
Other
Please select the type of area you live in
Urban
Suburban
Rural
Do you have a yard? If so, what size? Is it fenced in?
*
Do you have children living in the house or frequently visiting? If so, list their ages
*
Have you ever had a Vizsla before? If so, list when.
Why would you like a Vizsla?
*
Do you have a preference for a male or female puppy?
Do you plan on breeding your Vizsla?
*
Do you plan on showing your Vizsla?
*
Do you currently have any dogs? If so, list their breed and ages
*
Have you ever had a dog before? If so, list when and the type of dog
*
If you have had dogs before, please describe their date and cause of death (if applicable) OR if you surrendered the dog, please describe the circumstances
Do you have any other pets or livestock? If so, please write species, name, and age
If you have to be away from your puppy for more than four hours at a time, please describe how they will be cared for when you are gone.
*
Who in your household will be the dog's primary caretaker?
*
Please describe your views on dog healthcare including spaying/neutering, vaccinations, food, and vet visits.
*
Please write the name of the vet practice that you use (or plan to use) for your puppy.
*
Please list your vet's website
*
Where will your dog be when you are away from home?
*
Where will your dog sleep?
*
Please describe the types of exercise your dog will get and how many hours a week
*
Is there anything else you would like to share?