Application

     Name:

Home and/or Cell phone:

            Email:

Address:

Personal references:

Reference phone #:

Type of residence(apartment, house,
condo, etc...):

Where will dog be kept most of the time:

Members of household and ages:

Do you have a fenced yard? If not, where
will dog be exercised and pottied?

Present and past pets and if they are no
longer with you, what are the reasons:

Veterinarian:

Veterinarian phone #:

What are your plans for this dog?
Pet, Obedience, Conformation showing,
breeding, etc...Please explain:

Do prefer male or female?

Are you willing to spay or neuter?

What age of dog are you looking for?

May we forward this information to other
breeders if we are unable to help you?

Please give any further comments to
assist us in placing a Boston Terrier with
you:

BRIO BOSTON PUPPY INQUIRY FORM
We do not take finding the perfect home for each of our babies lightly. In order for you to be
considered as a potential home, this form must be completely filled out.
Verifiable references are required and will be contacted.
THANK YOU!