Home
Gallery-Arrow
Gallery-Brit
Gallery-Jasper
Gallery-Rocky
Gallery-Roxy
Gallery-Star
Contact Cindy
Zircon Kids
Best In Show
Information Articles
Links

 

Having trouble with this form, click here for a printable pdf version.  

If you don't have the free adobe reader click here to get it.

Name *
E-mail Address *
Address
City *
State *
Province
Postal/Zip Code
Phone Number *
What is a good time for me to call you? *
Type of Dwelling you live in.
Do you own or rent your home?
Do you have a fenced in yard? *
 
If yes, what kind of fence. If no, what are your plans regarding a fence if you get a puppy? *
What size is your lot?
Where will the dog be kept?
Do you plan on crate training your puppy?
Will anyone be home during the day with the puppy? Please explain circumstances. *
How many hours per day will the dog be left alone? *
List all currently owned pets and ages.
Are any members of your family allergic to dogs?

 

What gender puppy do you prefer?

 

Do you plan on having your puppy spayed or neutered at 6 months of age? *

 

Would I or a neighboring breeder be able to visit your home?

 

Who will be the primary caretaker of the puppy?

 

Do you plan on taking your puppy to Puppy School, or Puppy Kindergarten, Or Obedience School?

 

Do you have any children? If so list ages.

 

Ages:
Are you purchasing your puppy for

 

Are you aware that a Bull Terrier can not be let outside without a fenced in yard or without a leash? *

 

Please understand, I work from a waiting list. If your application is approved your name will be added to our list. Deposits are required after the pups are 3 wks old. How long are you "willing" to wait for a puppy to become available? *



 
Why have your chosen the Bull Terrier?

 

Is there any other information or something you would like to add that I might find to be helpful in processing your application?

 

 

Please print this form and mail to
Cindy & Kevin Mowez
232 Hay Ave.
St. Andrews, Manitoba
R1A-3M7

You may also copy and paste this form into an email to Zircon Kennels or insert into a Word document and attach to an email to Zircon Kennels: cindy@zirconkennels.com