Click here to return to Home Page

Home Phone:  
Cell Phone:
Work Phone:

How many Adults are in your household?  
Do you have any children?
If you have children, how many do you have?  
What are the ages of your children?
Have you owned or do you currently own other dogs?
How many dogs have you owned?  
What are breeds of dogs have you owned?
Were the dogs you owned spayed/neutered?
Is everyone in your family committed to getting an Irish Setter?
What age of dog are you interested in?
What traits are you looking for in a puppy or dog?
(outgoing, quiet, big, small, light, dark...)
Do you want a male or female?  Why?
Do you live in a house or apartment?  
Do you own or rent?
Will the dog be kept inside, outside, or both? Day or night?
How big is your yard? Is it fenced? How tall is the fence?  
If your yard is not fenced, will the dog get exercise and be able to spend time outside?
Who will be the primary care giver?
How many hours per day will the dog be left alone?  
Are you willing to allow a home visit?
What are the reasons for wanting an Irish Setter?
Select all that apply.
Do you plan to spay or neuter?
Is a limited registration acceptable?
Have you ever attended an obedience class with a dog?
Do you plan on attending any training classes with this Irish Setter? (puppy kindergarten, obedience, etc.)
You you plan to have this dog professionally groomed?
I require a Veterinarian reference. Please include your Veterinarian's name and telephone number.