Page Updated 06/17/10
Thank you for your interest in a Hickory Hollow Llewellin Setter. We greatly appreciate your willingness to provide us with some information about yourself. This application is tailored toward a puppy purchase, but actually serves two purposes. We will use this data in our selection of potential new families for our rescue dogs as well as our puppies and to help to match you with a puppy that also meets your qualifications.
Once received, we will acknowledge all adoption applications in a timely manner. In the event that we feel your application meets our standards, you will be placed on our "adoption approved" list and will be allowed to choose a puppy from any current or upcoming litter of your choice and will also be eligible as adoptive parents for any of our rescue dogs.
We look forward to hearing from you!
**All the information submitted will be held strictly confidential and is for our business use only. We will not share your information with anyone without obtaining your permission first.
Date: (MM/DD/YYYY)
Adopting a puppy
Adopting a rescue dog
Fostering a rescue dog
Name: (you)
Name: (spouse/other)
Street Address:
City:
State:
* Zip:
Phone (home):
Phone (mobile):
E-Mail:
Age:
Occupation:
Children at home?
Yes No Age(s):
Please take this opportunity to tell us more about you and your family.
*
In what type of area is your home located?
What type of home do you live in?
Do you rent or own your home?
Own Rent Other Other?
If you rent, what would you do with your dog if you had to move?
What is the size of your property?
Average Lot (under .5 acre) Spacious Lot (.5 to 1 acre) Small Acreage (1 - 10 acres) Large Acreage (10+ acres) Not Applicable Additional description:
Do you have a fenced area in your yard?
Color:
Any color, No preference
(Select from below if you have specific color preferences)
White / Black and ticked
White / Orange and ticked
White / Chestnut and ticked
Tri-color (White / Black / Tan)
Chestnut Tri-color (White/Chestnut/Tan)
Blue Belton
Orange Belton
Chestnut Belton
Tri-Belton
Chestnut Tri-Belton
Sire: Dam:
Delivery Method:
See Methods
Pick-Up in Person at Hickory Hollow Personal Delivery Air Shipment Other
If Personal Delivery, Air Shipment or Other, please indicate where the delivery will be made.
Additional Puppy Preferences:
(list any specifics or deal-breakers here)
Yes No Owned an English Setter
What are the reasons you have chosen a Llewellin Setter?
(Please check all that apply)
Family Companion
Hunting
Field Trials
Breeding
Show Ring
Are you an upland hunter? Yes No
What upland birds do you hunt?
Pheasant
Quail
Grouse
Woodcock
Huns
Ptarmigan
Chukar
Other
Are you a member of any hunt club / bird preserve or training facility? Yes No
Have you previously owned dogs?
Yes No
What did you vaccinate for?
What brand of food did you feed?
Science Diet Nutri Source Eukanuba Iams Pro Plan Other Premium Food Purina brand Store Brand Other Not Applicable
If Store Brand or Other, what type?:
Free Choice (food out at all times) Meal (one portioned meal per day) Meals (two or more portioned meals per day) Not Applicable
Do you currently have any other pets at home?
If so, what species?
(If dogs, please also specify breed)
Are you planning to spay or neuter this dog?
Yes No Undecided
If undecided, please explain why:
Will this dog live primarily inside or outside?
If outside only or both indoors and outdoors, please describe outdoor living quarters.
Kennel Run Fenced Yard Other Not Applicable
If Other, please describe:
Where will the dog be when you are not at home?
Where will the dog be when you are at home?
Will you train this dog?
What types of training will you do? (Please check all that apply)
Obedience
Yes No If so, please explain:
1.2.
Do you want to register your puppy with the American Field in the Field Dog Stud Book (FDSB)? See FDSB Registration...
Yes, go ahead and do this for us Undecided I would like more information No, Not Interested
If you want FDSB registration, do you also want to order an "official" pedigree at the same time? If so, make your selection at the right.
Are you interested in having your puppy microchipped? See microchipping...
Yes, go ahead and do this for us Yes, but I will have my vet do it Undecided I would like more information No, Not Interested
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