PUPPY APPLICATION

Do you know about the health problems with Vizslas that have been spayed or neutered? *

Yes

No

don't care

Need more information?

Date and time

Mobile Phone *

First Name *

Is your property fenced? *

Yes

No

Plan to fence

Do you plan on running your Vizsla in National Field Events? *

Yes

No

maybe

don't know what that is?

What did your previous Dogs die from and at what age?

Zip Code *

Mobile Phone

State *

Occupation *

Phone

Describe why you would like a Vizsla in your household? *

Co-owner

Have you ever owned a Vizslas? *

Yes

No

Which litter are you interested in? *

Any future litter

Next Planned Litter winter 2021

Future Litter 2022

Future Litter 2023

6 month to 1 year old Dog/Bitch

1 year to 2 years old Dog/Bitch

2 years or older Dog/Bitch

Started FT/HT Dog/Bitch

Email

Have you ever given up a pet to animal rescue or the Humane Society? *

Yes

No

Don't know

What sex of Vizsla are you interested in?

Either Male or Female

1st choice Male, 2nd choice Female

1st choice Female 2nd choice Male

Male

Female

City *

Occupation

Do you plan to take your puppy to puppy classes? *

Yes

No

Maybe

Don't know

Last Name *

Have you ever owned a puppy?

yes

no

don't know

Do you plan on breeding your Dog? *

No

Yes

Maybe

Phone

Address *

Do you have any other pets?

Email: *

Check here to receive email updates

Do you plan to spay or neuter your Vizsla? *

No

Yes

Maybe

Don't know

Are you currenty on any breeder's wait list for a puppy? If Yes, please provide their name and phone number: *