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Puppy Application Form

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Diamonds Pedigree
Puppy Application
Contact Us

Rustyco Water Dogs
Julie & Ty Rust
3120 N American St.
Stockton Ca. 95204

Please complete the questionnaire below and click submit. This will help with the selection of the right puppy for you and your family.

Full Name
City and State
Zip Code
E-mail Address
Phone Number
Fax Number
How many people are in your household?
Do you have children?
If yes, what are their ages?
Does every family member want a dog
If not, please explain.
What made you decide to get a dog, especially a Portuguese Water Dog?
* Or what purpose are you purchasing a PWD? (Check all that apply to you)
a. Family Pet
b. Obedience Training
c. Show Breeding
d. Therapy Dog
e. Agility
f. Water Work
g. Other
Do you have other pets in your household? Explain.
Do you have them professionally groomed, or do you groom them yourself?
Do you have any special concerns about PWD's?
What facilities do you have for your dog?
Is your yard fenced?
Where will you keep this puppy?
Do you own a crate?
If yes, what size is it?
Do you understand the financial commitment involved in having a pet, other than the original cost of the dog? (Veterinarian cost, quality food, regular grooming)
Are you willing to spay/neuter this dog?
male or female
curly or wavey