Havanese Puppy Application
To apply for a puppy from Royal Flush Havanese, we ask that you provide the following information. This information helps us to ensure that each of our puppies is being placed in a great home, where all of their needs will be met. It also helps us match you with the right puppy. Please be sure to fill out ALL of the questions and answer them as thoroughly as you can. We never share your information. Your privacy is respected throughout the process. Thank you in advance, and we look forward to speaking with you soon.
NAME
First and last name
Your answer
EMAIL ADDRESS
Your answer
CONFIRM EMAIL ADDRESS
Your answer
Phone number
Your answer
ADDRESS (Street address & apt #)
Your answer
CITY
Your answer
STATE
Your answer
ZIP CODE
Your answer
HOW DID YOU HEAR OF ROYAL FLUSH HAVANESE?
IF YOU CHOSE OTHER OF REFERRAL, PLEASE EXPLAIN:
Your answer
List which puppy or puppies you are interested in meeting or reserving. If you are filling out the application for a future puppy, please tell me what color and gender and in what time of the year you would like to reserve your puppy
Your answer
Number of people in the home?
Your answer
Please select age ranges for people in the home:
Have you owned a dog before?*
Your answer
Why do you want a havanese?
Your answer
Who will care for, train, and exercise the dog?
Your answer
Number of hours the dog will be alone each day?
Your answer
Do you own or rent your home? If a condo, do the condo documents allow a dog? If you rent, do you have the permission of your landlord to own a dog?
Your answer
Does anyone in your home have allergies?
If so please list all allergies below:
Name and location of the veterinary clinic who knows you? May we use them as a reference?
Your answer
Comments or questions?
Your answer
I agree to never breed this pet.
Required
I agree to spay/neuter by 8 months old
Required
I agree to never bring him/her to a shelter if I cannot keep him/her.
Required
I will find him/her a great home or return to my breeder to rehome if I can not keep him/her.
Required
I agree to provide a safe, clean environment for my dog.
Required
I will provide daily food, play and nurturing.
Required
I will provide necessary medical care and regular check ups.
Required
I promise that all my information is correct and I am 18 or older and this dog is for me.
Required
I understand that sending this application does not automatically entitle me to a dog. I understand that this application is just a beginning step in the interview process.
Required
I agree that if AKC Registration Papers are provided they will be Limited.
Required
I agree that my deposit is nonrefundable if choose to place one.
Required
Please re-enter your name in space provided below. By submitting this application, you agree to the previous conditions, and promise the information on this application is correct:
Your answer
Please email us after you click submit. Not all applications make it to my email so please let me know so I can access your application if I don't receive it! Thank you!
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