Irish Red & White Setter Questionnaire

Please feel free to fill this out if you are interested in a puppy of ours or would like us to refer you to a breeder with puppies currently.

Thank you

-Shawn & Kellyn

(Members in good standing of the IRWSA)

Name:
Email Address:
Phone Number:
Address:
Occupation:
Name & Age of Household members:
Who will be responsible for the dogs care:
Is someone home during the day:	Yes No
If no how is this handled: (do you know of a local dog daycare?)
Do all family members want a dog:	Yes No
Are any members of the household allergic to dogs:	yes no
Do you	Own Rent Apartment Townhouse House
Yard size and Fencing Type
Have you ever owned a dog? When? What happened(note any dogs surrendered to shelters or back to breeders):
What pets do you presently own:
Have you met an Irish Red & White Setter in person:	Yes No
When/ how did you become acquainted with Irish Red & White Setters:
Do you understand Irish Red & White Setters shed, slobber and are high energy dogs:	Yes No
What makes you think an IRWS is right for you:
Dog will be housed:	Indoors Outdoors
Do you plan on crate training:	Yes No
Who will take care of the dog when you are gone for extended periods or vacations:
How will the dog be confined in your absence:
Veterinarian’s name, Address, Phone:
Your puppy will require house training, socialization, training classes, daily exercise and weekly grooming. It will be much like having a new baby in the way it disrupts your life. Do you understand the time, energy & commitment required to get a puppy through its first year?	Yes No
What will you do to get through this:
Will you take the puppy to socialization and obedience classes:	Yes N o
Would you have the hips & elbows evaluated by OFA at 2 years of age:	Yes No
Would you have eyes checked for CERF certification annually:	Yes No
Will you allow for a home inspection by either Nya Star or one of its friends prior to the sale of the puppy:	Yes No
In placing dogs with buyers, I consider this agreement a pact between parties to secure the dog’s welfare for its lifetime. In this agreement, I offer lifetime refuge for any dog I produce which buyer cannot keep. Will you promise to return the dog to me should some unforeseen circumstance prevent you from keeping the dog any longer with little or no monetary refund?	Yes No
Your preferences on a puppy:
Age: (puppy or adult)
Would you spay/neuter:	Yes No
Preferred gender:	Male (60lbs - 80lbs) Female (45lbs - 60lbs) Either
What do you want to do with your dog:	agility companion conformation (show) hunting obedience therapy tracking other
If other please specify: if for breeding please specify here
Thank you for your time. We will get back to you hopefully in 48 hours. – Nya Star

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