First Name

Last Name

Email Address

Phone Number

Have you owned rat terriers before? Have you owned rat terriers before? Yes No

How many rat terriors have you owned?

Are you looking for a puppy or older dog? Are you looking for a puppy or older dog? Puppy Older Dog

Any preference on sex of the puppy/dog? Any preference on sex of the puppy/dog? Male Female No Preference

I am interested in getting a rat terrier for or to be involved in (check all that apply): I am interested in getting a rat terrier for or to be involved in (check all that apply): Agility Breeding Companion Confirmation Couch/Bed Warmer Family Member Hiking/Backpacking Companion Obedience Personal Assit Dog Search and Rescue Therapy Work

Any other information you can provide that will give me more information regarding what you are looking for in the perfect Rat Terrier.

Have you competed before?