Email Address:

City and State Where you live?

Phone #

What breed(s) are you interested in and why?

What is your current living situation (own home, condo/townhouse, rental with pets allowed)?

Do you have the finances to provide proper vet care to your dog (200-600 per year)?

Please provide the ages of all children who live in your home or who are frequent visitors (grandchildren, babysitting, etc)

How many hours a day will the dog be left alone?

Where will your dog sleep?

Where will your dog stay when you leave the house?

Describe your pet containement system (fence - how high?kennel, tie out, trolley wire, leash walk)

What other animals would a dog in your home need to be able to get along with (cats? ferrets?)

If you have other dogs, please tell me their breed(s), gender(s) and age(s).

Have you ever given up a dog? If so, please provide details.

What are your preferences?  (Male/female, puppy/ young adult or retired Champion, color if applying for a GP)

Do you understand and agree that companion puppies, if not already altered by the breeder prior to placement, are sold on a spay/neuter contract requiring you to submit proof of altering prior to receiving the dog's AKC registration papers?

Do you understand that housetraining, especially with a Manchester Terrier, can take up to 9 months of consistent effort and are you willing to devote that time consistently and positively?

Are you willing to spend the time, energy and money to employ an expert dog trainer if your dog develops inappropriate behaviors which you are unable to control or re-train yourself?

Do you agree to return the dog to the breeder if, for ANY REASON, you cannot keep the dog?

May I or my representative visit your home and family?

Have you any questions for me as the the breeder of a puppy you may be purchasing?