Name                                                                                           Date                    .    

Address                                                                              Phone#                         . 

                                                                                           Email                              .

Place of business                                                        Title/position                          .   

Business address                                                        Phone#                                  .        

Fax#                                                              Email                                                      .    

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . .

Where did you first see or hear of PWDs?                                                                            . How did you find Alto Mare?                                                                                                  What qualities most interest you in a PWD?                                           .

What other breed(s) have you had? ____________ Did you Obedience train? ______

How often did you have professional grooming?                                                       . are you aware PWD's have continous growth so need to be kept trimmed ______

One of the great things about PWD's is their love of doing things for their people. We encourage people not just to train their dogs but also to celebrate and confirm their dog’s abilities by putting titles on them. We prefer homes that will put the dog’s intelligence and talents to use. What kind of activities/training most interests you?                     ____Obedience, ____Water, ____ Agility, ____  Fly Ball, ____Pet Assisted therapy work.

Would you be  interested in putting working titles on your dog? ____________

Have you ever shown or bred dogs ?  If so, what breeds ________________________

Are you interested in breeding?______________ Showing?___________ or learning to show your dog?_________

CARING FOR THE DOG(Please include photo's of areas dog will spend time)

Where do you plan for the Puppy to spend most of its time when you are not home and while you are home _____________________________________________________  and as an adult,_____________________________________________________________________

Will your dog be around  children?_______ What ages?                             Do you have a dog run________ , fenced yard_______, how large__________,   will you crate train your puppy?___________   Please provide photo’s of your home where the dog will be spending his time inside and outside . 

What kind of a schedule is your household on Daily? Who will be responsible for feeding, exercise and grooming?_____________________________________________________

Lisa Hubbart has been breeding and striving to produce the best quality PWD possible and to protect the breed in any way she can, this includes requiring all puppy buyers to have their dogs OFA evaluated and CERF eye tested regularly. If you buy a PWD you will also be taking up the struggle to protect the breed. Not only by following the guidance of Lisa Hubbart but also by joining The Portuguese Water Dog Club of America and following it's code of ethics. Do you understand?________ Web Site: www.PWDCA.com

 PHYSICAL CHARACTERISTICS

Coat type   Curly____ Wavy____   no Pref.____  improper coated puppy?______

Color preference: _____________   Sex:  male___ female____ either____

Would you consider_______ or prefer_______ an older puppy____________ or Adult?____________

You are looking for…. (check as many as may apply)

• Pet only - to be spayed/neutered_____ 
• Guaranteed show/breeding - interested in definite show/breeding quality______
• Pet with show potential - not specifically interested in showing/breeding but if the dog turns to have exceptional qualities, important to the breeding program, will follow breeders guidance in having dog shown to attain championship and allow breeder to breed ________  
• Show prospect - will spay neuter if doesn't turn out or will have a professional handler show, if dog does turn out ______
• Show prospect - will spay if doesn't turn out or will want to learn to show dog personally, if dog does turn out ________

Please Provide two references, one animal related if possible (vet, groomer, trainer Etc.) The Other a friend or family member who might puppy sit for you. 

Name________________________________ Ph.#_______________________

email address_________________________________

Relationship___________________________________ years known________

Name________________________________ Ph.#_______________________

email address_________________________________

Relationship___________________________________ years known________

If you have had a PWD previously please provide seller and breeders names and contact info. If you have another PWD currently not spayed or neutered also include Pedigree/health stats .   

DEPOSIT

A deposit is being made in the amount of $_________ (usually about 25 to 33%  OR $500 TO $800) to show intent to purchase a dog as described.   If Lisa Hubbart cannot provide a puppy as described or has not assisted in the purchase of a puppy as described within _______ months, this deposit will be refunded.  However, if depositor/applicant changes their mind, buys a dog elsewhere, or has misrepresented themselves in anyway, Lisa Hubbart reserves the right to deny a refund, in whole or in part.

Signed_________________________________________ Date________________

Mail with deposit to Lisa Hubbart,  2847 West 880 North Povo, Utah 84601