Puppy Questionnaire - Egerton Vizslas reg'd

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Name

First

Last

Date

Address

City*

Province / Territory*

Postal Code*

Email address*

Phone*

How many members in your family?*

How many under 5 years?

Will someone be available during the day to toilet/play with puppy?*

(If all household members work outside the home, sometimes one lives close enough to come home for lunch or there may be a relative or neighbour close by willing to do this until puppy is older)

Which gender are you looking for?*

Male

Female

Prefer Male but would take either

Prefer Female but would take either

Do you agree to give breeder feedback once a month until the dog is a year, then every 6 months from there?*

Yes