Tell Us About Your Family!
Your Full Name:
Street Address:
City / State / Zip:
Email Address:
Phone Number:
Please list names and ages of all
Who will be the primary caregiver for your RavenWolf Terrier?
How can we best contact you?
How did you hear about RavenWolf Terriers?
Yes No
Are you planning on moving in the next year?
Does anyone who lives in your household have allergies to dogs?
Yes No
If yes, please explain who, how severe, and your expected treatment plan:
Yes No
Does anyone who visits your household frequently have allergies to dogs?
If yes, please explain who, how severe, and your expected treatment plan:
Is anyone who lives in your household afraid of dogs?
Yes No
If yes, please explain who, how severe, and your expected treatment plan:
Yes No
Is anyone who visits your household frequently afraid of dogs?
If yes, please explain who, how severe, and your expected treatment plan:
Yes No
Would you allow us or a friend to do a home visit before we place a RavenWolf Terrier with you?
Do you have the means to financially care for a RavenWolf Terrier?
Yes No
Yes No
Would you agree to return your RavenWolf Terrier to us if you could no longer care for him?
Yes No
Would you stay in contact with us about your RavenWolf Terrier? (Updates, pictures, visits, etc?)
Do you understand that a new dog will usually have a few minor adjustment issues?
Yes No
Has you (or anyone in your household) ever taken an animal to a shelter, or otherwise
Yes No
Please provide us with (2) references that we may contact:
Reference #2 Name:
Reference #1 Name:
Reference #2 Phone Number:
Reference #1 Phone Number:
Reference #2 Email Address:
Reference #1 Email Address:
Reference #2 Relationship to You:
Reference #1 Relationship to You:
Tell Us About Your Home!
Where do you reside? (apartment, condo, house, etc.)
Own Rent
Do you own or rent?
If you rent, please understand that we will need to speak to your landlord and verify your pet policy before
Yes No
Landlord's Name:
Landlord's Phone Number:
Landlord's Email Address:
Do you have a pool? Yes No
If yes, please explain how it is secured to keep your RavenWolf Terrier safe:
Do you have a securely fenced-in yard? (Fence is at least 4' high, and goes
Yes No
Yes No
Do you plan on leaving your RavenWolf Terrier unattended in your yard? (Either secure in a fence, or tied up?)
Tell Us About Your Other Pets! (If you do not own any other pets - please skip this section.)
Please list names, breeds,
Yes No
Do you plan to get more pets?
If yes, please explain what type and breed(s) you plan on getting:
Yes No
Do you use monthly heartworm and flea/tick treatment?
If yes, please explain what brand name(s) you use:
Would you consider using a natural (chemical-free) flea/tick preventative?
Yes No
Are your pets current on their Distemper, Parvo, and Rabies Vaccinations?
Yes No
Yes No
Would you consider using titer-testing to prevent over-vaccinating your pets?
Who is your current vet? (Name of Animal Hospital)
May we call your vet to request a reference?
Yes No
What do you feed your pets? (Brand names, please)
Have you had any experiences with a dog (current or previous) who has a
Yes No
Yes No
Have you done any training with your current or previous dogs?
Are you a breeder?
Yes No
Tell Us About Your Plans For Your RavenWolf Terrier!
No Preference
Male Female
What sex RavenWolf Terrier would you prefer?
If you have a preference, please explain why:
No Preference
Puppy Adult
What age RavenWolf Terrier would you prefer?
If you have a preference, please explain why:
What personality traits are you looking for your RavenWolf Terrier to have?
How soon would you like to add a RavenWolf Terrier to your family?
Have you ever owned a Jack Russell Terrier before?
Yes No
If yes, please tell us about them:
What activities would you be interested in doing with your RavenWolf Terrier? Please explain:
Not Sure
Yes No
Do you plan on breeding your RavenWolf Terrier?
If yes, please explain your breeding goals:
Do you plan on showing your RavenWolf Terrier? Yes No Not Sure
If yes, please explain your showing goals:
Yes No Not Sure
Do you plan on competing with your RavenWolf Terrier?
If yes, please explain your competition goals:
Yes No Not Sure
Do you plan on attending Puppy Kindergarten with your RavenWolf Terrier?
If yes, please explain what type (positive reinforcement / clicker, etc) of training classes you will attend:
Yes
Do you understand the importance of socializing your RavenWolf Terrier at a young age with other dogs and people?
No
Yes No
Do you understand why RavenWolf Terriers sold as pets must be spayed or neutered by 6 months of age?
What food do you plan on feeding your RavenWolf Terrier? (Brand name, please)
Where will your RavenWolf Terrier sleep?
Where will your RavenWolf Terrier stay when you are not home?
How many hours per day will your RavenWolf Terrier be left alone?
How are you planning on housebreaking your RavenWolf Terrier?
How are you planning on exercising your RavenWolf Terrier?
What are your plans for your RavenWolf Terrier for when you go on vacation?
Not Sure
Will you crate train your RavenWolf Terrier? No
Yes
Why did you decide to get a Jack Russell Terrier?
Why are you specifically interested in a RavenWolf Terrier?
Have you done research on the Jack Russell Breed and understand the breed standard,
No
Yes
Do you have any questions for us?
