Application

Applying for:

Puppy
Adult
Either

Preferred sex:

Male
Female
Either

Quality:

Pet
Show
Either

Color:

Blue-brindle
Wheaten
Not important

Name: *

Address: *

City: *

State/Province: *

Zip: *

Home Phone:

Cell Phone:

Work Phone:

Fax:

Email *

Today's date:

Please let us know how you heard of us:

Please list household members and ages of any children:

Please list species, breed if canine, sex and age of other household pets:

Home setting:

City
Suburbs
Rural

Type of home:

Single family
Apartment
Duplex
Other

Size of yard if applicable:

Is your yard fenced?

Yes
No

If so, please describe kind of fence and size of fenced area:

What kind of road goes past your home?

How would you describe the activity level in your home (busy, quiet, etc.)?

What is the typical schedule of your home life?

If you travel, how will the dog be cared for (go with, kennel, house sitter, stay with friend, etc.) ?

Will this be your first dog?

Yes
No

Who will probably be the primary caretaker of the dog?

What sort of obedience training do you plan to do with your dog (no plans, informal if necessary, casual obedience at home, plan to attend a class, plan to compete in obedience or agility)?

Do you intend to spay or neuter your dog?

Definitely
Probably
Not sure
No

IF YOU ARE INTERESTED IN AN OLDER GLEN PLEASE EXPLAIN WHY :

OTHER DESIRED CHARACTERISTICS (size, type of personality, etc.) Please note which characteristics are most important:

YOUR TIME FRAME (As soon as possible, fall, next year….):

Veterinarian you will be using (if known):

Veterinarian's telephone number:

Which airport do you prefer?

You must check the following boxes to complete submission of this application. *

Please be sure to read our Glen Agreement. ttps://glenterriers.com/about-our-puppies/glen-agreement/
Having read about Liberty Kennel and the Puppy Agreement, and understood Liberty's dog costs and guarantee policy, and having filled out this application, I wish to be considered as a new owner for a Glen of Imaal Terrier from Liberty Kennel.

Glen of Imaal Terriers

Liberty's Glen of Imaal Terriers - AKC Breeder of Merit in New Hampshire

Application