Please fill out then copy and paste into an e-mail and  send it to [email protected]  thank-you

 Dream Land Puppy Application


Name

E-mail contact

Phone contact

City, State

Do you rent or own your home

Do you have a secure fenced back yard

Number of Household members

Any Children living at home

Children's Ages

Do you work full-Time, part time or retired

Dog Preferences Puppy or Adult

Companion Pet

Companion Show    (We are happy to mentor you  in this area)

Male or Female

Are you interested in showing at AKC  performance competitions ( Ralley, Agility, scent work, classic obedience)

Do you have any other animals living in your home

If yes, please list all other animals 

Have you ever had to place one of your animals into an animal shelter or with an animal rescue organization?

If so, Please explain

How did you hear about Havanese and what is your experience with them what attracts you to this breed?