It is very important to us, as caring breeders, to do all that we can to place our puppies in homes where both dog and owner will be happy.  In addition to letting us know a little bit about you, it is our hope that filling out the questionnaire below will help you think through your own commitment to responsible dog ownership.  

Write as much as you like in each box.  They will expand as you go!   Click "submit" when complete. We look forward to hearing from you!

    Jewel and Mitchel


Your Name:  

Home Phone: 

Email Address: 
Please note, this is how we will be contacting you!

Your Occupation:   

Your City/State and Zip: 


Do you own or rent your residence?  If you rent, do you have the land to keep a dog?

Do you live in a house, apartment, trailer or other?  How long have your been at this address?

Do you have a fenced yard? 

How many adults are in the household?  How many children?  What ages and gender?

How many dogs have you owned in the past 15 years?  What happened to each?  Please be specific.

List your plans for this Bichon:  pet, show, obedience, agility, other?

Have you ever had a Bichon before?  If yes, please tell us about him/her?

What is the maximum number of hours each day that you will be away from home?

Where will the dog spend the day in your absence?

Where will the dog spend the night?

Where will the dog stay if you are out of town?

Puppy Gender Preferences:    Male     Female     Either Male or Female

Why do you want a Bichon?

What do you know about Bichons?

Tell me a bit about yourself and why you would be a good home for a Bichon.  Please write as much as you like.


Breeder of Merit