Name * First Name Last Name Email * Address * Phone * (###) ### #### Where did you hear about us? Is this your first Brittany? If no, please tell me about your previous Brittanys. Do you have a preference male or female? Why? Please check off interests with new dog Show Hunt Field Trial/Hunt Test Agility Competitive Obedience Pet Breeding Other Do you own or rent? Do you have permission from your landlord to have a dog? List Family members and their ages What made you choose a Brittany? Where will the dog sleep at night? How many hours a day will the dog be left alone? Do you plan to crate train a puppy? Do you have a fenced yard? If so, how tall is the fence. If not, how do you plan to exercise your puppy? Do you have any interest in co-owning a show prospect puppy? Thank you!