Tell us about yourself and how we can reach you.
Name:
Adddress: City/State:
Home Phone:
Work Phone:
Fax:
E-Mail:
Occupation:

• How did you hear about us?
  

How did you become interested in the Belgian Tervuren?

If you own or have owned a Tervuren, please let us know from whom you obtained your dog.

• Please tell us what books you have read about the breed, puppy training, obedience training, & dog behavior....
  

Recommended Reading:
- Belgians from Start to Finshed by Sallyann Comstock
- Before & After Getting Your Puppy: by Dr. Ian Dunbar

What are your expectations for your dog? Check all that apply
(Hold down the Ctrl Key for multiple selections)

Personal Companion Show Obedience Competition Agility Competition Tracking Rescue Work Animal Assisted Theraphy Breeding Herding

Do you have a preference for a male or a female puppy?

• Male Female
  
  Would you take a puppy of the opposite sex should your first choice not be available?
  Yes No



• Would you be interested in an older puppy or adult?
  Yes No



• Tell us a little about the makeup of your household.
  Spouse Partner Roommate
  Children? Yes No
  ages? Under 5 5 to 10 Over 10



• Please describe those pets that are currently with you (type, age, sex, altered status)
  



• Please describe those pets that are no longer with you (type, age, sex, altered status)
  



• What happened to the pets who are no longer with you?
  



• Who will be responsible for the care and training of your pet?
  



• Would you call your family more...
  Active Outdoors Quiet at Home
"On the Go" , Moderately Active, Combination of all ?


• In what family activities would you include your dog?
  



• Do you have a veterinarian your family uses or has used?
  Yes No
  If yes, please provide the name, address and telephone number.
  Veterinarian:
  Address:
  Phone:



• Do you live in a house or townhouse? If so, how large is your yard and what type of fencing do you have? Please describe, including height.
  



• In what rooms of your home will your dog be permitted? Do you have any ideas about how you will keep your dog out of certain parts of your home, if necessary?



• Have you thought about housebreaking a puppy and handling an adult dog? What about potty needs? Where will your dog go to eliminate? How will you clean up?



• How many hours each day during the "work week" will your dog be left alone?
  Some of the Day Normal Work Hours More than Average
  Do you have a secure place to leave your pet while you are away from home? Where will your pet sleep at night? NOTE: Most Belgians and Collies do not do well confined alone in a pen or yard
  
  
• If travel plans took you away from home, what arrangements would you make for your dog?
  Boarding Kennel Pet Sitter Neighbor/Relative Take With You



• Training and proper socialization are important to a puppy's development into a secure and happy companion. Can you devote the time needed during the critical first few months to teach manners and expose your puppy to many new experiences? Do you have any ideas about where you would go for obedience training or socilaization?
  Yes No

  I highly recommend enrolling your puppy in a "kindergarten" or "puppy" class at the earliest opportunity (only after the second set of vaccinations and as soon as the trainer will allow). Find a trainer that uses POSITIVE REINFORCEMENT ONLY (or even a "clicker" training class). Continue training classes through "pet manners" and if possible two "beginners" levels ~ by then your dog could complete a Canine Good Citizen Test (and you would have your first title)! It is not necessary to be training "competitively" but it is important to learn basic "manners" and is great socialization to people, places, and other dogs.
  

• Additional comments
  

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