Prospective Parents

Thank you for taking the time to fill out our Prospective Parents Form. The sooner I receive your application and approve it, the sooner you are entered onto my waiting list. All applicants are registered on a first come, first served basis. We ask that you fill out the fields to the best of your ability. If you have any questions or concerns, please contact us.

Your Full Name *

First

Last

Your Partner's Name *

First

Last

Your Age *

Address *

City *

State *

Postal Code *

Home Phone

Cell Phone *

Work Phone

Partners Phone

Email *

Email

Confirm Email

How Many People Live In Your Home? *

If There Are Children In The Home, What Are Their Ages?

Do You Own Your Home? *

Yes
No

How Long Have You Lived In Your Home? *

What Is Your Employment? *

What Is Your Partner's Employment? *

Does Your Home Have A Securely Fenced Yard That Will Retain A Westie Puppy? *

Yes
No

Will This Puppy/Dog Be Allowed To Be In The House As A Full Member Of The Family? *

Yes
No

Do You Or Someone In The Home Like To Take Nice Long Walks With A Puppy/dog? *

Yes
No

Do You Realize That A Westie Should Be Professionally Groomed Every 4-6 Weeks And Well Brushed At Least Twice Per Week? *

Yes
No

Do You Know Of A Good Dog Groomer In Your Area? *

Yes
No

Do You Have Any Other Pets? *

Yes
No

If So What Kind?

Are You Willing To Drive To My Residence To Obtain Your Puppy? *

Yes
No

If You Are Not Local, Are You Willing To Fly Into Spokane, Washington Airport And Then Drive To My Location, To Obtain Your Puppy? *

Yes
No

Would You Like Us To Supply The Names And Contact Information Of Several Current "Parents" Of Our Puppies? *

Yes
No

What Type Puppy Are You Interested In? *

Strong outward personality
Average type Westie
More reserved/laid back
Very active for agility competion

What Sex Of The Puppy Do You Prefer? *

Female
Male

Have You Reviewed And Understand All Of My Forms On This Website? *

Yes
No

Where Did You Hear About Us? *

Google
Facebook
Referral
Other

If Other, Please Tell Us More About How You Heard Of Us.

Message

Completing this form in no way commits/binds/ encumbers you in any way, shape or form. It is strictly for our information and will never be shared with anyone else, for any reason.