Name:     
Street Address:   
City:         
State:        
Zip:          

Phone number:   
E-mail:    

Best time to reach you by phone:

If small town or rural area, give us the nearest big city:

Understanding the Kuvasz

How much time have you spent with an adult Kuvasz? 

Why are you interested in a Kuvasz?

If you haven't spent time with an adult kuvasz, how far would you be willing to travel to meet some?

How much research have you done on the breed?

Have you read our club's on-line brochure "Presenting the Kuvasz"?
  http://members.aol.com/kfa4kuvasz/present.htm    yes        no

What questions and concerns do you have about their guarding temperament?

Your home and family

What animals do you currently have in your home and on your property?

What breeds of dogs have you owned, lived in your home, or cared for in the past  and what happened to them?
                                                                                      

Have you ever bred a litter?    yes         no

Are you interested in breeding?   yes     no     maybe

How many people are in your household?     

What are the ages of any children?     

Is there a lot of activity in your home (playmates, guests, workers?)?

Is your yard completely fenced?  yes     no

If you have no fencing, do not bother to submit this application. 
For the safety of the dog and your community, KFA Rescue 
will not place a dog in an unfenced home.

What are the approximate dimensions of  your yard?

What are the fences made of?

From a dog’s viewpoint, what can you see looking out your fence?
 

Will the dog be   inside       outside      both  

Can strangers gain access to your yard from the street?   yes     no


How many hours on a typical day would the dog be alone?

How many hours on a typical day are children under age 16
in your home without adult supervision?

Do your neighbors mind a barking dog?

Your expectations:

What types of activities would you like to do with your Kuvasz?  

Do you have a preference   for male     female     no preference

Do you have a preference for a dog within a certain age range?
  yes   between ages
  no preference

Often we don't know the origin or background of a dog. Sometimes all we can tell for sure is that it's a Big White Dog. Would you consider a mix or a dog with an unknown background?  yes     no    maybe

Would the Kuvasz be a working livestock guard dog     or family companion    or both  

Would you take your Kuvasz to a group obedience class?  yes     no

We still need more info !!!!

If you rent is it OK if we contact your landlord?  yes     no   own our home

Landlord's name, address, and phone number:

If you have owned a pet within the past 5 years, may we contact your veterinarian for information?
 yes     no   It's been longer than 5 years since I've had a pet in my life.

If yes, please provide the name, address and phone number of your vet and
advise the office we have your permission to talk to them.  

I have told my vet's office to put a note in my records that it's OK to give you information about me. 
yes     no

Would it be OK if one of our representatives conducted a home visit prior to placing a dog with you?
yes     no

Are you willing to pay for transportation for the dog you adopt or
make a donation to Kuvasz Fanciers of America Rescue?  
yes     no

What else we should know about you?  

Have you contacted other Kuvasz rescue groups?  yes     no

Please help us not duplicate our efforts. List the names and contact information for the other Kuvasz rescue groups you have contacted: 

Do you understand that all dogs are offered without warranty of any kind?   yes    no

How did you find out about us?