Gemstone Havanese -

                         Adoption Application

This is the first step in obtaining one of my wonderful Havanese puppies.  Please take the time to fill out one of these forms and send them back to me as I am very careful on placing my puppies in their forever homes and would like to know a little more about the families that are interested in them.
Thank you for your interest and I will respond as quickly as possible to your questions.

You can either copy and paste this application and email it back to me or copy it and mail it back to me.   Our address is  124 Hidden Cove Ct., Murfreesboro, TN 37128.   615-809-2328
 

                  YOUR CONTACT INFORMATION

Name:


Street:City:State:Zip:

  
Email:Phone:Fax:
   
               

                  YOUR VETERINARIAN INFORMATION


Name:Street:City:State:Zip:

Email:Phone:Fax:   

 

          INFORMATION ABOUT CARING FOR YOUR PUPPY


 1.  Why are you choosing a Havanese Puppy? 


 2.  Do you have a preference in a male or female?

 3.  Do you have a preference in color?
   
 4.  Do you have other pets in your home?

 
 5.   What pets have you had in the past and where are they now?

 
 6.   Do you have children?        If so what are their ages?  
 
 7.   Where do you live?
   
 8.   Is your yard fenced?   Yes   No

 9.   Are you willing to sign a spay/neuter contract?   Yes   No

10.  Do you know how to house train a puppy?   Yes   No

11.  Will you be able to pick up your puppy?  Yes   No

12.  Who will be the main caregiver for the puppy?

  
13. How many hours per day will your puppy be alone? 
 
14.  Where will the puppy sleep at night? 

  
15.  What food, treats and toys do you plan to give him? 

 
16.  Who will groom puppy?  
 
  
17.  When you are on vacation, who will care for your puppy?

 
18.  Do you have any questions for me?