Conformation Performance Therapy Rescue

KeelMtn Corgis

www.KeelMtn.com

CONFORMATION ∙ PERFORMANCE ∙ THERAPY ∙ RESCUE

Leslie Gene Reed

P.O. Box 22437 ∙ Huntsville, AL 35814

(256) 655-1789 / (256) 776-0005 FAX

Thank you for your interest in a KeelMtn Pembroke Welsh Corgi. As you might imagine, placing the puppies we have taken such care to bring into this world and raised so carefully to be a healthy and happy dog is of great importance to us. The questions we ask are not meant to be intrusive or judgmental. They are merely to help us determine if a KeelMtn Corgi is right for you and your family. This questionnaire is but an initial step to lifelong relationship between and your dog.

Please be aware that all KeelMtn Corgis are sold on an AKC Limited Registration, meaning they already are or will be altered before their AKC and UKC registration papers are released. Any show potential puppies are generally retained by us or possibly co-owned by someone we know well and have an established relationship with. The difference between pet and show potential puppies is usually something as small as a dot of white in the “wrong” place. Their health and temperament are no different. The guarantee against inheritable disease is the same. A “pet” puppy is not a LESSER puppy.

Please answer questions fully and feel free to add additional pages if needed.

PUPPY QUESTIONNAIRE

please print clearly

Name(s): ______

Children’s Names, Ages and Genders (if any): ______

______

Street Address: ______

City, State, Zip Code: ______

Home Phone: ______Cell Phone: ______

Email Address: ______

What are you looking for in a Pembroke Welsh Corgi? ______

What age? ______Sex? ______Color? ______

How did you find KeelMtn Corgis? ______

Why did you decide on a Corgi? ______

Why do you want this puppy? _____ companion _____ obedience competition

_____ agility competition _____ therapy _____ other (what?) ______

Have you owned a Corgi or other dog before? ______If no longer owned, what

happened to the pet(s)? ______

Who will take care of this puppy? ______

Number and kind of pets currently owned: ______

I/we live in a (type of housing): ______

Are there any pet restrictions? ______

Are you planning to house this dog indoors? ______

Do you have a fenced yard? ______If not, how do you plan to keep this dog

safe while out of the house for exercise, play, training, etc.? ______

______

Do you plan to crate train this dog? ______

Do you plan to attend obedience class? ______

Is EVERYONE in the family in agreement about wanting a dog? ______

Please tell us something about you/your family and why you feel a KeelMtn Corgi is right for you: