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First name

Last name

Address

Phone

Occupation(s)

Names and ages of all adults living in your household:

Names and ages of any children living in or regularly visiting your home:

Why have you chosen a Havanese?

Why are you looking for a puppy now?

Have you owned dogs before?

Yes

If yes, please tell us about them.

Do you currently own any pets? (Please include species, breed, age, sex and whether they are neutered.)

Who will be the puppy’s primary carer?

Approximately how many hours each day will the puppy be left alone?

Where will the puppy sleep?

How do you intend to exercise your puppy?

Is your garden fully secure?

Yes

If no, please explain.

The Havanese has a beautiful silky coat that requires regular care. Are you aware that a Havanese requires brushing several times each week to prevent matting?

Yes

Do you intend to:

Keep the coat long

Keep the coat clipped shorter

Unsure

Have you previously owned or groomed a long-coated breed?

Yes

If yes, please provide details.

Are you prepared for the ongoing cost of professional grooming if required?

Yes

Have you researched the grooming requirements of the Havanese breed?

Yes

Does anyone living in or regularly visiting your home have an allergy to dogs?

Yes

If yes, has the allergy been confirmed by allergy testing?

Yes

Have they spent time with Havanese before?

Yes

Please provide details.

Do you understand that no dog breed, including the Havanese, can be guaranteed to be completely hypoallergenic?

Yes

Do you intend to attend puppy training classes?

Yes

How would you describe your approach to training?

Which veterinary practice do you intend to register with?

Are you willing to maintain routine veterinary care, vaccinations or titre testing (as advised by your vet), parasite prevention and appropriate pet insurance?

Yes

Breeding

Our puppies are normally sold as much-loved family pets. We do not routinely sell puppies with breeding rights. In exceptional circumstances, we may consider a puppy for showing and/or future breeding, but only after careful assessment and at our sole discretion.

Do you intend to breed from this puppy?

Yes

Unsure

If you answered Yes or Unsure, please explain your plans.

Have you previously bred dogs?

Yes

If yes, please provide details.

Are you a member of the Havanese Breed Society UK?

Yes

If yes, how long have you been a member?

What qualities are most important to you in your puppy?

Please provide the contact details of one person (not a family member) who has known you for at least two years. Name: Relationship: Telephone: Email: If you currently own a dog, we may ask for permission to contact your veterinary practice.

Additional Information

Is there anything else you would like us to know that may help us find the right puppy for your family?

Declaration

I confirm that the information provided is true and accurate to the best of my knowledge. I understand that submitting this application does not guarantee that I will be offered a Havagem puppy. I understand that the welfare of the puppies is the breeder’s highest priority and that Havagem reserves the right to decline any application where it believes a home is not the best match.

Privacy Notice (GDPR)

The personal information you provide in this application will be used solely for the purpose of assessing your suitability to provide a home for a Havagem Havanese puppy and, where applicable, for communicating with you before and after the sale of a puppy.

Your information will be:

Processed in accordance with the UK General Data Protection Regulation (UK GDPR) and the Data Protection Act 2018.
Kept secure and treated as confidential.
Used only by Havagem in connection with your puppy application and any subsequent purchase.
Never sold or shared with third parties unless required by law or with your explicit consent.
Retained only for as long as necessary for our legitimate breeding, record-keeping and legal obligations, after which it will be securely deleted or destroyed.

You have the right to request access to the personal information we hold about you, request correction of inaccurate information, or ask us to delete your data where we are not legally required to retain it.

I confirm that the information I have provided is accurate to the best of my knowledge.

I have read and understood the Privacy Notice above and consent to Havagem processing my personal information for the purposes of assessing my puppy application and maintaining appropriate breeding records.

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