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Tammen's Basenjis Puppy Application

Our Breed: Basenji
Contact information
Puppy preferences


Preferred Coat Color:

Other Information



Other pets at home:


Preferred Date:

How did you hear about us?:

Are you on any other breeders waiting list?:

Would you be interested in joining a Basenji club?:

What are you going to do to commit to this puppy?:

What sets a Basenji apart from other breeds?:

Please explain why you feel you are ready for a puppy?:

If you are interested in breeding your Basenji please explain why?:

Are you interested in breeding your basenji?:

Are you interested in doing FCAT, CAT, Lure Coursing with your Basenji?:

Are you interested in doing competive obedience/rally obedience or agility with your basenji?:

Are you willing to do basic obedience classes with your basenji?:

Are you interested in showing your Basenji?:

Do you have a gender preference?:

Name and phone number of the veterinary that sees your pets now.:

Do you plan to have a pet sitter or dog walker?:

Does anyone in the family have pet-related allergies?:

How would you classify your home?:

Will you be letting your basenji off lead?:

How do you plan on keeping your Basenji active and engaged?:

How much time will you Basenji be spending outside?:

Do you have a secured yard? If so what type of fence? Height of fence?:

Name and phone number of landlord/rental agency.:

Do you own or rent your home?:

Do you currently have any non-dog pets? Do you plan to?:

Do you currently have any dogs and if so what breed? Have you had dogs in the past and what breed? How long did you have them? If you did not have them all their life please give reasons?:

Number of people in household and ages?:

Email address:

Phone number:

Address :