Keeva Bay Reg'd

Please fill out the following questionnaire if you are interested in a Keeva Bay puppy. All inquiries will be responded to. In order to get on the waiting list, I require a completed questionnaire and a telephone interview. Once pups arrive, all people on the waiting list are contacted and re-interviewed. All information is strictly private and confidential.


Required Fields *

First Name *

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Last Name *

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E-Mail Address *

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Telephone Number *

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Street Address *

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City *

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Province
OntarioQuebecNova ScotiaNew BrunswickManitobaBritish ColumbiaPEISaskatchewanAlbertaNewfoundland/Labrador
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Do you live in a House, Apartment or Condo?
HouseApartmentCondo
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Do you Own, Rent or Live with Parents?
OwnRentLive with Parents
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Outside Space
Fenced YardEnclosed BalconyNear a Dog ParkNear a TrailNone of the above
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Are you looking for a Portuguese Water Dog or Ducth Sheepdog
Portuguese Water DogDutch Sheepdog
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Are you looking for a Pet, Breeding Stock or Show Dog
PetBreeding StockShow Dog
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Are you interested in doing any of the following?
ConformationAgilityObedienceWater WorkNone of the above
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Do you understand that a puppy sold as a Pet will be sold under a Non-Breeding Contract?
YesNo
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Do you have a preference for Male or Female?
MaleFemaleNo Preference
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What colour of Puppy are you looking for?
BlackBlack and WhiteBrownBrown and WhiteIrish MarkedParti-ColouredNo Preference
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How did you hear about us? *

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Tell us about your Household *

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What age are the children in you household?
0-56-1011-1516-20Older than 20Do not have children at home
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How many pets do you have in your Household?
012345Over 5
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Why do you feel a Keeva Bay Puppy is a good choice for your household and how much research have you done? *

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Spam Prevention, please type the numbers you see in the space provided.

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