Application form: Date MM DD YYYY General Information: How did you hear about us? Why did you choose us as your breeder? Personal Information: Name: (you) * First Name Last Name Name: (spouse/other) First Name Last Name Location: * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### E-Mail: * If you are being added to our wait list, email is how we will reach out to you, so please provide an email address whose inbox you regularly check. If we do not get a reply in 48 hours we will move on to the next person on the list. Preferred Method of Contact * If you get added to our call back list make sure your preferred method is something you will respond to in 24-hours. When we start putting together reservation lists we need responses fairly quickly. Phone Call Text Message Email Age: Occupation: Children at home? Yes No Age(s): Please take this opportunity to tell us more about you and your family. Property Details: What type of home do you live in? * Single Family House Apartment Other If other, explain: * Do you rent or own your home? * Own Rent Other Other? What is the size of your property? * Average City Lot (under .5 acre) Spacious Lot (.5 to 1 acre) More Than 1 Acre Not Applicable Additional description: Do you have a fenced area in your yard? * Yes No Planning to Explain how you plan to ensure your Llew gets exercise. Llews are after-all field dogs. They need to get regular daily exercise of some kind. Usually a fenced in yard will work. Do you currently own or have previously owned dogs? Yes No Living Conditions: Do you currently have any pets at home? Yes No If so, what species? (If dogs, please specify the breed). Are you planning to spay or neuter this dog? * We encourage new puppy owners to spay or neuter their Llew for health reasons; and in fact we will give you $200 after you spay or neuter your Llew within the first 2 years of age. If you do plan to breed please review the purchase contract for requirements related to breeding. Yes No Undecided If no or undecided, please explain why: (required) * Will this dog live primarily inside or outside? * Inside Outside Both Inside and Outside Undecided If outside only or both indoors and outdoors or other, please describe outside/other living conditions. * Kennel Run Fenced Yard Other Not Applicable Please describe: Where will the dog be when you are NOT home? Where will the dog be when you are at home? Do you plan to train this dog? Yes No Undecided What types of training will you do? (Please check all that apply) Hunting Obedience Other Breed Related: Would this dog be your first Llewellin Setter? Yes No Owned an English Setter What qualities are you looking for in a dog? Hunting Background: Are you an upland hunter? Yes No About how many times per year do you hunt? What other breeds have you hunted with? Puppy Preferences: If you want to reserve a pup from one of our current or future litters, please tell us your preferences. Litter ID: Gender: Male Female No Preference Color: Any color, No preference White / Black and ticked White / Orange and ticked White / Chestnut and ticked Tri-color (White / Black / Tan) Chestnut Tri-color (White/Chestnut/Tan) Blue Belton Orange Belton Chestnut Belton Tri-Belton Chestnut Tri-Belton Timeframe? * Please note, due to the length of our reservation list, the timeframe to get a pup will be at least 1 year or longer. As soon as I can get one. 6 months to 1 year. More than a year from now. No specific time frame. Willing to wait. Delivery Method: See Methods Pick-Up in Person at Hickory Holllow Professional Delivery Service Personal Delivery Other Additional Puppy Preferences: (list any specifics or deal-breakers here) Puppy Extras: Do you want to register your puppy with the Field Dog Stud Book (FDSB)? Yes Undecided I would like more information No, Not Interested Thank you!
