Application Form - Connemara Irish Jack Russell Terriers

First/Last Name *

Phone (w/area code) * We will only attempt to call you by phone twice. We will not bother you.

Email * We will not add you to any annoying mailing list.

Address or the State you live in

What qualities are you looking for in a puppy?

What are you looking for: male/female? smooth/broken/rough coat?

Are you interested in a specific puppy or litter mentioned on website?

How important are markings? Or is temperament most important to you?

Do you agree with selecting a pup with a focus on temperament being priority?

We require Spay/Neuter of puppies placed. Will you agree to this? *

Do you have a fenced yard? If not, what are your plans to keep your puppy safe?

How many hours will your puppy be alone during the day?

Please note if you have children in the home and their age.

Do you have other dogs? Please list sex/breed or other animals in your home.

Will you consider crate training your puppy?

Do you agree with training your puppy with positive reinforcement and force free methods? *

Connemara Terriers are devoted companions. Are you prepared and ready for a constant “shadow”?

How did you find us? Friend or family? Run into someone with a CJRT? Or Internet?

Notes or Special Requests:

By checking this box, you acknowledge you have read and understand our policies. I have read and understand the policies below

You will find the policies listed at the bottom of this form