KayLaDee Papillons

Kathy Dengel

P. O. Box 1632

Cranberry Township, Pennsylvania 16066

(724) 266-3417

"We’re the Kompany who keeps you company!"

Kathy & Kompany

www.kayladeepapillons.com Kayladeepaps@yahoo.com

Today’s date: _______________

Thanks for completing the following information. This will enable us to identify your specific needs

for a papillon and be assured of a suitable match.

Name ____________________________________________

Family Members: ________________

Address ____________________________________________ ________________

City ___________________________ State ______ Zip ____________ ________________

Phone _____________________ Work Phone ____________________ ________________

Email ____________________________ Fax: _______________________ ________________

How were you referred to KayLaDee? __________________________________________________

______________________________________________________________________________

What are your desires? Please check all the appropriate boxes:

Puppy‘ – Age? ___________ Young Adult ‘ Older Adult ‘ Rescue ‘

Male ‘ Female ‘ No Preference ‘

Color Preference : Tri (White/Black/Tan) ‘ White/Sable ‘ White/Red ‘ White/Black ‘

Pet/Companion ‘ Conformation ‘ Obedience ‘ Agility ‘ Therapy ‘

Breeding ‘ (If box checked, have you ever bred a litter before? No ‘ Yes ‘ )

If YES, please explain: _____________________________________________________

_________________________________________________________________________________

If I feel that another reputable breeder may have a more suitable match for you, may I have your permission to send a copy of this information to them?

No ‘ Yes ‘

Qualities/Characteristics/Traits:

What do you like in a papillon? __________________________________________________ __________________________________________________________________________

What do you not like about a papillon or a dog in general? _______________________________ __________________________________________________________________________

Environment:

Have you ever had a papillon? No ‘ Yes ‘ Any information is helpful here:

Do you currently have other animals? (List type, breed, age, size, etc.)

Are you willing to spay/neuter? No ‘ Yes ‘ If NO, please explain:

Are you willing to work with your dog in a basic/beginning obedience class? No ‘ Yes ‘

Will dog be left alone during the day? No ‘ Yes ‘ If Yes, how long in duration? _________

Do you believe in crate training? No ‘ Yes ‘

Where will the dog stay in your home? ________________________________________________

Do you live in a Residential ‘ Rural ‘ Area?

House ‘ Apartment ‘ Other ‘ Do you have a Fenced in Yard? No ‘ Yes ‘

Swimming Pool ? No ‘ Yes ‘ Aggressive Dogs for Neighbors? No ‘ Yes ‘

Would you object to a home visit? No ‘ Yes ‘

Would you be willing to visit our home? No ‘ Yes ‘

What books have you read on dog care and training?

Any other comments that you feel we need to know about?

Please provide References.