FAMILY QUESTIONNAIRE
HOW DID YOU FIND US?
NAME:
ADDRESS:
CITY:
STATE/ZIP
Email:
PHONE#
CELL PH#:
My Occupation is
I WORK
HOURS PER WEEK.
Spouse/Significant other's NAME
Their Occupation
Veterinary Name & Phone number
Number of Adults in household
Number of children in household
Names and Ages of Children
Where will dog be kept
when no one is home?
Is someone home during the day?
How many hours per days will dog be left alone?
The dog will live INSIDE
OUTSIDE
BOTH
I am interested in a RAT TERRIER
American Hairless Terrier
Coated Carrier Terrier
Will an allergy test with
a Hairless be needed?
List any allergies.
Show / breeding dogs are sold on co-own with Breeder. Pets are sold with a Spay/Neuter contract.
I am interested in a PET ONLY AND I AGREE TO HAVE IT  SPAYED/NEUTERED.
I want a SHOW/BREEDING PROSPECT.
I am a Breeder
My Kennel name is
I am a New Breeder-to-be
I want a PERFORMANCE PROSPECT
GENDER preferred:  MALE
FEMALE
EITHER GENDER
Reason for Gender preference:
What age dog are you interested in acquiring?
SPECIFY: Puppy, Teen, Retired Adult
Are all family members in agreement on the breed? YES
Who will be the primary caregiver of the dog?
I OWN my home
My yard is fenced
If you rent, what is the pet policy?
I RENT my home
Please explain how your dog will be
exercised and allowed to “go potty”?
How many dogs do you currently own?
Are they altered? List the breeds  
How many cats do you currently
own?  Are they altered? List the
breeds
Other pets (birds, fish, horses, etc)
How have your past pets been trained?  What is your pet training philosophy?
If you don’t currently own a pet, how long has it been that you owned one?
And what type animal was it?  
What happened to the pet?
PUPPY PRE-SALE APPLICATION
FAMILY QUESTIONNAIRE
RAGANRAT TERRIERS - RAT TERRIERS & AMERICAN HAIRLESS TERRIERS
 Thank you for your interest in a RaganRat Terrier! It can be a daunting task to find the perfect canine companion. On the flip side,
it is of utmost importance we know more about a potential home where one of our canine family members may live.  The first
step in the approval process is to complete this form. The more information you include, the better. Sparsely filled forms will not
be considered.
 I always like to speak to potential puppy owners by phone. You may call us @ any (reasonable) time @ 865-856-0508 (EST in
TN). Once approved for a puppy, the final step is a signed contract to purchase and
your commitment with a NON-REFUNDABLE
Deposit of ½ the purchase price.
Puppies are not held without a deposit. If you pay a deposit and later cannot take a puppy, then
that deposit may be applied to a future litter. Only if something happened to your puppy while in our care (never has) then and only
then would a deposit be refunded.
 As the Breeder, I always reserve the right of first picks of males and/or females from each litter. Show/performance Puppy Picks
are normally made between 7 & 8 weeks of age. Puppies determined to go to pet homes are made after show prospect picks are
made.
 All our litters are registered with UKC and AKC. Shipping available by Delta Airlines out of Knoxville, Tennessee - McGhee Tyson
(TYS).  
***Show/Breeding dogs are sold on a co-ownership with Breeder, NO EXCEPTIONS.  
                             ***Pets are sold with a spay/neuter contract, NO EXCEPTIONS.
Fill out Application. The more information provided the better.
Click TAB to go to the next box. DO NOT click Enter.
When finished, click SEND FEEDBACK at bottom of page.
Your application will be sent to my Inbox.
Thank you. You will be contacted.