Your full name:

Address 1:

Address 2:

City:

State or Province: Zip Code: Country:

Telephone:

Email Address:

Website Address:

Do you own or rent your home? Own Rent

Number of adults in your household?

Age? 18 - 29 30 - 65 65+

Number, ages, and sex of children in household?

Does anyone in your household have allergies to dogs? No Yes

Is everyone in your household committed to getting a new pet? No Yes

If no, please explain:

Do you own any dogs or other pets now? No yes

If yes, what types? Ages? Temperament? Spayed/neutered?:

Have you ever owned a Setter or other breed of dog previously? No Yes

If yes, what happened to it?:

Are you interested in a particular litter? No yes

If yes, which one?

Have you familiarized yourself with the characteristics of the Gordon Setter? No yes

If no, please explain:

Reason for wanting a Gordon Setter? (check all that apply):
Companion Conformation Obedience
Agility Field Hunting Breeding Other

If other, please explain:

What traits are you looking for in this puppy - outgoing, quiet, big, small, lightly marked, darkly marked, etc?

What sex are you interested in? Male Female Any Undecided

Would you consider an older puppy or an adult dog? No Yes Undecided

If yes or undecided, what would be the maximum age that you would consider?
1 Year 1 - 2 Year 2 - 4 Year
4 - 6 Year 6 - 8 Year 8+

When are you looking to purchase a puppy or adult?

Will you be spaying or neutering this dog? No Yes Undecided

If no or undecided, please explain:

Who will be the primary care giver for this dog?
Myself Family Member Other, please explain:

How much exercise will the dog receive?

Do you have a fenced in yard? No Yes

If no, please explain how you plan to control your dog. If yes, what type and height?

How many hours a day will the dog be left alone?

1 - 3 hours 3 - 6 hours 6 - 9 hours 9+ hours

If more then 6 hours, will there be a "lunch" walk?

No Yes, by family member Yes, by dog walker

If no, please explain reason?

Where will the dog be confined when no one is home - loose, crated, confined to the kithen or other room, basement, garage, yard, kennel, other?

Where will the dog PRIMARILY spend it's time - inside, outside, kennel, combination?

Where will the dog sleep - on the bed, loose, crated, confined to the kitchen or other room, basement, garage, yard, kennel, other?

How much time do you expect to spend weekly on training?
0 -1 hour 1 - 2 hours 2 -3 hours 3 - 4 hours
4 - 5 hours 5 - 6 hours 6 - 7 hours 7+ hours

Have you ever taken a dog to obedience training? No Yes

Do you plan on taking this dog to obedience training? No Yes

How long do you expect housebreaking to take?

What problems, if any, did you have with your previous dogs - health, training, behavior, etc?

Have you ever crate trained a dog/puppy before? No Yes

If no, are you willing to learn? No Yes

If no, please explain?

Have you ever given a dog up to a shelter, rescue group, or pound? No Yes

If yes, please explain?

What would you do with the dog if you suddenly found yourself unable to keep it?

Are you willing to follow the contract and guidance supplied by AnamCara?
No Yes Undecided

If no or undecided, please explain?

Are you willing to stay in contact with AnamCara for the life of the dog and provide updates and pictures?
No Yes Undecided

If no or undecided, please explain?

How do you plan to get the puppy to you - pick it up yourself, ship, etc?

Please provide two references, preferably your Veterinarian and one other non-family member. Include name, phone number and address:
Reference 1:

Reference 2:

Any additional information that you would like to tell us - hobbies, lifestyle, plans for this dog, etc: