Heartland Biewer Terriers


HOME OF AKC/BTRA REGISTERED
BIEWER TERRIERS

LIVING "THE GOOD LIFE" IN NEBRASKA

Wanting the best possible homes........

Whether they are here with me or living with their new families, my puppies will always be a part of my family.  I take great care in finding them a home where they will be loved and cared for just as they were with me.  If you would like your home to be considered as a forever home for one of my puppies, please copy & paste the puppy application below onto an email, fill out the questionnaire, and email it to me, Rose at grma2mle@cox.net.  I will get back with you as soon as I can. 

        I WANT THE BEST POSSIBLE HOMES FOR MY PUPPIES!         

Puppy Application 

Name: ______________________________________ 
Address: ____________________________________________ 
City: ___________________________________ State: ______ Zip: ________________ 
Phone Number: (____) _____-_______

Cell Phone: (____) _____-_______
 EMail:___________________________________________________________

Occupation: _____________________________________________________________ 
Work Hours: _____________________________________________________________ 
 

HOUSING 

Do you live in a: ___House ___Apartment ___Townhouse___ Other___
Do you _____own or ____rent your home?
How long have you lived at this address? ________________________ 
If you rent, do you have the landlord's permission to keep a dog? _____________ 
 

FENCE / YARD / CRATE INFORMATION

Do you have a completely fenced yard suitable for a dog? ___Yes ___No

Describe fence  ______________________________________________________________ 

If no fence how will you handle the dogs exercise and toilet needs? ________________________________________________________________________

Do you have a suitable dog crate? ___Yes ___No

If no, are you willing to purchase one? ___Yes ___No

HOUSEHOLD INFORMATION

How many adults in the home: _______Children: _______ Age and gender of children: 
________________________________________________________________________

Who in the household will have the main responsibility of caring for this pet? ________________________________________________________________________

How many hours & what time of day a will the dog be alone? ________________________________________________________________________
 

OTHER ANIMAL INFORMATION

Do you own other dogs? ___Yes ___No spayed/neutered? ___Yes ___No Please list breed, size, and gender of each: ________________________________________________________________________ ________________________________________________________________________ 

Do you own cats? ___Yes ___No If yes, how many? ___________ 
Other animals in the home? ___Yes ___No if yes, please describe: ________________________________________________________________________ ________________________________________________________________________ 

Have you ever returned a pet to the breeder? ___Yes ___No If so, what were the circumstances? ___________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 

Have you ever given a pet away? ___Yes ___No If so what were the circumstances? ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 

Have you ever taken a pet to the pound or shelter? ___Yes ___No If so, what were the circumstances? ___________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 

Have you owned a Yorkie before? ___Yes ___No 

Why did you choose this breed? _______________________________________________________________________________

Will you be attending any training classes? ___Yes ___No           If so, what kind? _______________________________________________________________________________

Do you plan on keeping this dog primarily? ___Indoors ___Outdoors 

Where will dog sleep? ___________________________________________________________

Do you have a regular vet? ___Yes ___No

Name: ____________________________________Phone:______________________________

Address: ________________________________________________________________ 

PUPPY PREFERENCES

SEX: __female __male __no preference/unsure

Have you considered an older dog instead of a puppy? ___Yes ___No ___unsure 

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                Rose Kitta
       



                                                                                                                                        

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