Lancaster’s of Gold Canyon
Give us a Call: 480-229-0719

ADOPTION FORM
Name:

Address:

 
City:

State:

 
Zip Code:

 
Phone:

Alternate:

 
Email:

Occupation:

 
Do your Own or Rent your Home? Own Rent  
 
How long have you lived at your present address?
 
Is your Home a: House Apartment Trailer Other  
 
Is your backyard completely fenced in and suitable for a dog?
 
Number of Adults?
 
Number of children Ages  
 
Any members of the household allergic to animals?
 
How many hours per day will the Havanese be left alone?
 
Do you own other dogs?
 
If yes, what: Breed: Age: Gender:  
 
Are your other dogs: Spayed Neutered  
 
Do you own any other animals?
 
If Yes, please list
 
Why did you choose this breed?
 
Are you aware that Havanese need to live in the home with their human family?
 
Where will the dog sleep?
 
Will you be crate training the dog?
 
Will you take the dog for basic obedience training?
 
If no, how do you plan to train the dog to obey simple commands such as walking on a leash?
 
Do you have a veterinarian chosen who will care for your Havanese?
 
Are you aware of the common health problems a Havanese might experience?
 
How will you be grooming the Havanese?
 
Do you know how to brush a dog’s teeth?
 
Are you able to afford a high quality dog food and veterinary care for your Havanese?
 
Are you willing to keep us informed of your puppy’s progress with regular updates and photos?
 
List any questions you have about the Havanese breed or requirements to care for a Havanese.
 
List your puppy preference: Male Female No Preference  
 
Coat color preference
 
 

Thank you for your interest in our puppies!
-Lucy and Bob Lancaster
 
 
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