Registration Application

Personal Information

Your Name (required)
Your Address (required)
Your City (required)
Your State (required)
Your Zip (required)
Your Phone# (required)
Your Email (required)
Are there children in the home?

Home Area

Is the yard fully fenced and secured?
Will the puppy be supervised when outside?
How much time for exercise per day? per hour
What types of exercise?
(Remember Bichons are inside dogs and must not be left outside during extreme temperatures.)
What method will be used for house training?
Will the dog receive obedience training?
Do you have other pets?
What kind of pets?
Have you ever owned a dog?
Have you ever owned a Bichon Frises before?
How many?
Which do you prefer?  Male Female Either
Any additional information that you would like to share?