Name (required)
Your Email (required)
Phone Number (inc. area code)
Mailing Address
Have you ever owned a Welsh Terrier, or any breed of Terrier before? If yes, please provide details.
Are there any pets currently in the family? If yes, please provide details.
What made you decide you wanted to get a Welsh Terrier?
Are you home enough to give your dog proper companionship, and how will your dog be kept when you are not home (at work, etc.)?
Do you have a fenced yard? If so, what type - traditional fencing or Invisible Fence?
Describe how your dog will live (and where the dog will live)... including type of house and yard, areas to walk in the neighborhood, etc...
Do you have any minor children? If so, what are their ages?
Have you trained a dog before? Will you have time and provide the effort to give the dog the obedience training it needs, and deserves, to be a positive part of the family? YesNo
What gender of Welsh Terrier would you prefer? No PreferenceMaleFemale
If you prefer one gender, why?
What age of Welsh Terrier are you interested in? PuppyOlder Pup or Young AdultOlder Dog or Retired Champion
Are you interested in participating in any of the following activities with your dog? These aren't requirements, but may help us provide a better match with a potential owner. Conformation (Dog Shows)Nose WorkBarn HuntEarthdogAgilityRally-O or ObedienceTherapy DogLure CoursingDock DivingCompanionBreeding
Have you ever or would you consider breeding your Welsh Terrier? YesNo
Are you familiar with the grooming requirements for a Welsh Terrier and would you be doing this grooming yourself? Not yetYes, will use a groomerYes, will do myself
How did you hear about Darwyn Welsh Terriers and why did you choose our Kennel?
We accept responsibility for the dogs we breed for their lifetime. Are you willing to sign an agreement specifying that you will return your dog to Darwyn for rehoming if you are unable to keep him? YesNo
Sometimes other Welsh Terrier breeders contact Darwyn Welsh Terriers for placement opportunities in their area. Can we provide your information to other breeders? Do not provide my information to other breedersMy information may be passed on to other breeders
Please elaborate on any special circumstances that you wish to be considered that were not discussed elsewhere on this form:
