BLUEBONNET NORWICH AND NORFOLK TERRIER CLUB

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NORWICH/NORFOLK INQUIRY FORM

The purpose of this evaluation is to assist us in determining if the Norfolk or
Norwich Terrier is a good fit for your present lifestyle and environment.

Norfolk Terrier

Norwich Terrier

Either

Name

Address

Home/Cell Phone Number

Do you now own or have you ever owned a Norfolk or Norwich Terrier? If yes,give details.

Do you have a fenced yard?

Do you have a swimming pool?

Jacuzzi?

Do your dogs have access to it/them?

Do you have minor children in your household? If yes, how many and what ages?

If the answer to the above question is yes, have the children had other dogs? If so, what breeds?

Do you presently have other pets? If yes, give details.

Are you interested in showing dogs? If yes, give us any history you have of showing.

Are you interested in breeding?

Are you interested in an older dog? If yes, give any restrictions.

Do you, or anyone in your household have physical limitations? If yes, give details.

When you travel, what arrangements will you make for the care of your dog?

If all adults in the household work outside the home, how long will your dog be unattended?

Will your dog be confined in your absence? Give details.

Do you belong to a kennel club? If yes, give details.

Please give 3 personal references.

Please give any veterinary references and grooming shop references.