Thank you for your interest in a
Portuguese Water Dog Puppy

Thank you for taking the time to complete this questionnaire. Your answers will allow us to match one of our puppies to your life-style and requirements. You must fill out a questionnaire to be considered for one of our PWD Puppies.

Your full name:

Your email address: (e.g.: you@aol.com). We will notify you of the receipt of your form with this address.

Your phone number (with country, city, area codes):

Do you RENT or OWN? 

  Do you have a fenced yard?  If yes, please describe fence (type, height).    

PERSONAL DATA

Age:   Relationship Status: Married/Long Term Relationship Widowed Single

If Married or in a long term relationship:

Your Spouse/Significant Other full name:

Your Spouse/Significant Other occupation:

Does your spouse or significant other know and approve of owning a PWD?  

Children?  If yes, what is/are their name(s) and age(s)?

Other pets?  If yes, please give the names and describe type, breed, sex, and age of each:  

Are your pets spayed/neutered?  Please specify which one(s).  

Do you have a veterinarian? His/her name and address please.  

If you have had a dog before, describe the dog you owned and what happened to him/her?

Why are you interested in owning a PWD?  

Have you ever owned a PWD before? If so, what did you enjoy most about it? 

Where will the dog stay during the day?

At night?

How many hours per day will the puppy be left alone?

YOUR PREFERENCES

I am most interested in a:    Male     Female    Either

I prefer a hair type of:    Curly     Wavy    Either

I prefer a coloration of:    Basic Black   Brown   With white   No Preference

Interested in showing this dog in conformation or obedience/agility?  Please explain.

I am interested in (Check all that apply!):

  a young puppy only    an older puppy (4 Months to 1 Year) would be okay 

  an older dog/retired champion  

What characteristics are you looking for in a PWD?

Do you have any concerns or questions about the breed?

How long are you willing to wait for a PWD? (remember, a litter takes 4 months from conception to 8 weeks old)

 6 Months     9 Months    More than 9 months

Yes, I am aware that Camlin Portuguese Water Dogs reserves the right to refuse to provide a puppy to ANY applicant for ANY reason.  

Where did you hear about Camlin Portuguese Water Dogs?

 A Friend    Web Search    Breeders List    Other Source, please explain in comments.

Comments?