Name (required)

Address

City

State

Country

Phone

Email (required)

Number in family

Children's age

Other pets (type & age)

Have you ever owned a dog before?
Yes No 

If Yes - Age / Breed

Ever taken animal to shelter?
Yes No 

If Yes – Describe situation briefly

Briefly describe your experience with dogs

Have you ever competed with dogs?
 Yes No

If so, level of training experience?

Have you ever owned a therapy dog?
 Yes No

If Yes – Describe briefly

Why are you considering a Portuguese Water Dog?

Do the adults in family work outside of home?
 Yes No

Longest amount of time dog will be left alone?

Describe briefly

How much time do you believe it will take to care for your dog?

per day

per week

Are you committed to feeding, exercise, training, grooming, playing & socializing activities?
 Yes No

How do the other members of your family feel about getting a Portuguese Water Dog?

Have you given any thought to housebreaking your dog? How will you proceed?

How long do you expect this to take?

Describe briefly

Do you live in a house or an apartment?
HouseApartment

Do you own or rent?
OwnRent

If you rent, does the lease permit dogs?
 Yes No

Are there size restrictions?
 Yes No

If there are, what are they?

Do you have or have access to a fenced area?
 Yes No

Size? (give length by width and fence height)

If you do not how will you provide your dog exercise and potty breaks?

Will your dog be inside or outside when you are away?

InsideOutside

Will your dog be confined when you are away?

 Yes No

Who in your family will be responsible for the following tasks?

Housebreaking

Feeding

Training

Grooming

Veterinarian appointments

Walking / Exercise / Potty breaks

Socializing

Costs associated with ownership

What is your estimate of the annual cost of owning a Portuguese Water Dog?

Are you prepared for these costs?
 Yes No

Are you prepared for any emergency costs and time the dog may require?
 Yes No

Do you have a veterinarian?
 Yes No

If so, please provide all contact information for your vet

If not, it is time to consider finding a vet who will help you care for your dog.

Do you know of a training facility in your area for

Puppy socialization
 Yes No

Therapy training
 Yes No

Basic obedience training
 Yes No

Do you plan to compete with your dog?
 Yes No

If yes, would you like information on the various competitions open to the dogs?
 Yes No

What if you move to a residence that doesn’t allow dogs?

What will you do if your dog is missing or becomes aggressive or you cannot care for them?

Are you familiar with AKC?
 Yes No

Do you belong to any local, regional or national dog clubs?
 Yes No

Are you interested in a male or a female dog?
 Male Female Either

Please list or discuss any other comments or concerns you may have