Puppy Pre-Purchase Application

This form is designed to ask questions in order to help you and West Coast Lagotto decide if a Lagotto Romagnolo is the right breed for you. We will gladly help select the right puppy for you. Upon receiving this application we will be in touch with you through email or phone within 7 days. Please feel free to add anything to this application that will help us to determine what you are looking for in a Lagotto Romagnolo. Please call at any time if you have questions.

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Name *

First

Last

Address *

Email *

Phone Number: Home/Cell *

Best Time of Day to Call: *

I would like a

• Male
• Female
• Either

I would like a specific colour ( note colour changes as dog matures ) Yes/No/Colour *

I would like a PET only puppy and plan to Spay/Neuter *

• Yes
• No

I would like a BREED quality puppy and am willing to keep the male intact for breeding or have at least one litter if I get a female *

• Yes
• No

I understand that if breeding I am required to give West Coast Lagotto a puppy back of show/breed quality on first litter. *

• Yes
• No

I am interested in SHOW quality but do not wish to breed.

• Yes
• No

I am interested in training my dog in: *

• Obedience
• Agility
• Search and and Rescue
• Truffling
• Showing
• Breeding
• Hunting
• Other

Are you willing to enroll your puppy in puppy classes? *

• Yes
• No

In what type of housing do you reside? *

• Apt/Condo
• Townhouse
• Single Family
• Other

Do you live *

• In town
• In the country
• On a farm/ranch

Do you *

• Own
• Rent

Do you have a fenced yard suitable for a dog? *

• Yes
• No

My household consists of *

• Adults
• Children
• Dogs
• Cats
• Birds
• Other

My children ages are?

I have owned dogs in the past *

• Yes
• No

If yes to above question, please list breeds that you have owned.

Does anyone in the household have allergies? ( Note: although many with allergies do well with Lagotto, there are no guarantees that allergy sufferers will not be affected. Potential owners should meet Lagotto before making a final decision.) *

• Yes
• No

If yes to above question, please list allergies.

The temperament I expect from my dog is: *

Who in the household will have the major responsibility for the dog? *

How many hours a day would the dog be left alone? *

Do you agree to return your dog to us if you can no longer keep it? *

• Yes
• No

Are you willing to keep your dog up to date on all vaccinations and necessary tests as indicated by your vet? *

• Yes
• No

Are you willing to have your dog seen by a vet at least once a year? *

• Yes
• No

Who is your Vet? ( name, address, phone )

Please list 2 references ( name, address, phone ) *

Although we prefer you pick your puppy up, we realize that may not be possible. If shipping is required which airports are closest to you?

What first interested you in the Lagotto Breed? *

List any other specifics with regards to what you are looking for in a Lagotto?

By checking Agree I (we) authorize the Veterinarian listed in this application to release information to West Coast Lagotto. *

• Agree

Submit

Note: A deposit of $500.00 will not be required upon approval. West Coast Lagotto only requires a deposit after the litter is confirmed by Ultrasound and only at such a time as we are confident we have the right puppy for you. We will require the deposit when the pups are approximately 10 days old. Once the deposit has been paid it is non-refundable. This deposit will hold a puppy for you and is not the actual purchase contract for a specific pup. The purchase price for a pup is $4000.00 CA plus applicable taxes ( $3500.00 USD ), with a spay/neuter agreement and negotiable for Show/Breed quality pups. Your deposit will be applied to the purchase price.

West Coast Lagotto
3080 Palmer Rd.
Qualicum Beach BC V9K 1W5
250-954-9940