Full Address
How will you be receiving your new pet?
Pick Up
Shipping
Do you have any other pets?
If so please list their breed, gender and age?
Are there any children in your household?
If so please list their names and ages:
Current puppy
Upcoming Litter
Adopting a retired breeder
Stud Service
I am interested in more information about:
If current puppy please list name here:
If future litter please list the litter you
are interested in placing a reservation
on and what gender and coat type you
are looking for.
Please tell me a little about your home
environment, where will the puppy
sleep, play, etc.
What experience, if any, do you have
with the Jack Russell Terrier breed?
If you have no prior experience what
research have you done about this
breed to ensure that it will fit into your
family and home environment?
Please let us know how you found
Kountry Thyme Jack Russells.
Have you read our Puppy Info page
that outlines our guarantee and do you
understand that all Kountry Thyme
puppies are placed on a spay or
neuter contract unless otherwise
discussed.
Yes
No
Is everyone in your household ready
for the commitment of bringing a new
dog into your home?
Thank you for taking the time to fill out
our application. I will get back with you
as soon as possible.
Please fill out our application if you are interested in
aquiring a dog from Kountry Thyme Jack Russell
Terriers so we can get to know you better.
Bama's Miss Muffet
Apple Jacks Lilah Jane
Kountry Thyme Diamonds N Crystal
Rusty (Ace x Cheyanne)
March 2009 Male pup