Place of Employment:
Work Phone: : Spouse
Are you looking for a puppy or an older dog:
Any sex or color preferences:
Number of children and their ages:
Who in the household wants the dog?
Have you owned Bouviers before?
If so, what is your most and least favorite things about the breed, and if
not why do you want a Bouvier?
Who will be the primary caretaker of the dog, or how do you expect the duties
(training, grooming, etc.) to be divided?
Veterinarian name, address and phone number:
Tell me a little about your previous dogs, where you got them and what
happened to them:
Any activities you plan on doing with the dog(s)?
Please complete the following statement by circling all that apply:
I am interested in getting a Bouvier for a or to be involved in:
Family Member Herding
& Bed Warmer
Other plans or desires for your dog:
Have you recently been involved in any training or activities with your dogs,
and if so can you please give me the name & contact information for the
trainer or group?
Where will the dog spend it's days?
Any other information you can provide that will give me more information
regarding what you are looking for in the perfect Bouvier:
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We are located in Olalla WA
The nearest large cities are Tacoma & Seattle