Your full name:
Address:
City/Town:
Prov/State:
Post./Zip Code:
Your email address: (e.g.: you@aol.com)
Your phone number (with area codes):

Do you own or rent your home?

Does anyone in your family have allergies to dogs?

Have you ever owned a Gordon Setter or dog previously?

When are you looking to purchase a puppy?

Are you interested in a male or female?

If that sex is not available would you consider the other?

Do you want a puppy or adult dog? Up to what age?

Do you have a fenced in yard or enclosure?

If no, how do you plan to control your dog, if yes what type and height of fence
(ie: chain link, invisible, dog run)?

How much exercise will this dog receive?

Where will the dog PRIMARILY spend it's time?

How many hours per day will this dog be left alone?

If more than 6 hours will there be a lunch walk?

Where will the dog be when no one is home - loose or crated, confined to kitchen, basement, garage, yard, kennel or other?

Where will the dog sleep at night? - On the bed, loose, crated, confined to kitchen, basement, garage, yard, kennel or other?

What would you do with the dog if you suddenly found yourself unable to keep it? (Things do happen!)

Do you have any other pets currently?
If yes what types, ages and temperament?
Are they spayed or neutered?
Will you spaying or neutering this dog?

What problems (health, training, behavior, etc) if any did you have with previous dogs? Have you ever given a dog up to a shelter, pound or rescue group if yes please explain?

Will you spaying or neutering this dog?

Reason for wanting an Gordon Setter check all that apply:
· Companion
· Conformation
· Obedience
· Hunting
· Agility

Have you ever taken a dog to obedience classes?

Do you plan on taking this puppy to obedience?

Have you familiarized yourself with the characteristics of the Gordon Setter?

Are you willing to follow the Health Guidelines supplied by Killbride Kennels regarding shots, exercise and feeding?

Are you willing to stay in regular contact with Killbride Kennels for the life of the dog and provide updates?

Please provide two references (one preferably your vet and one other)

Anything else you would like to tell us?