Puppy Application Puppy ApplicationΔ Newsletter To inquire about our waiting list, please fill out the puppy application below.We take the placement of our puppies very seriously. Our puppies are available ONLY to APPROVED homes.You must fill out a Puppy Application in order to be considered for one of our puppies.First NameLast NamePhone/MobileEmailAddressAddress Line 1Address Line 2CityStateZip CodeCountrySelect CountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the Congo (Kinshasa)DenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the Congo (Brazzaville)ReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabweHow were you referred to us?Do you have a preferred sex? if your preference is not available are your open to the other?Are you looking for a puppy for...- Select -Companion/petShow puppyIf for show, have you shown a dog to its' championship previously?What qualities do you like about Havanese?Is this your first Havanese?Is this your first dog?How many pets do you currently have? (Please list, type, breed, age, sex, neutered or spayed?Have you ever: Given a pet to a pound/shelter or given away a pet? If yes, what were the circumstances?How long did your last pet live? What were the circumstances of its' death?Are you committed to caring for this dog for its' lifetime?Are you willing to spay/neuter this dog? If not, Why?Are you willing to sign a Non-Breeding Contract?Do you have a fenced yard? What type of fence?If not, what are your potty plans for this dog?Will anyone be home during the day to care for the puppy?On average, how many hours per day will the puppy be left alone?- Select -Someone is always home1-4 hours5-7 hours8-10 hoursMore than 10 hoursHave you ever potty trained a dog?Where will the dog stay during the day/night?Are you aware that this is an "indoor" breed and cannot be left outside for extended periods of time?Are you aware of the grooming requirements for this breed?Do you plan on attending any training classes for your puppy?OccupationNumber of Adults and Children in your home?Ages of Children?Any references, Vet, Groomer, etc.Please use this space to ask any questions you have for us and to add further information you wish us to consider in placing one of our puppies with you. We would appreciate if you would give us a little insight into the expectations you may have for this new addition to your family. Thank you again! Your interest is deeply appreciated.Submit Form