Request edit access
Court Jester Havanese and Prissy Diva Russian Salon Dogs Puppy Application
Located in Eastern, NC
Sign in to Google to save your progress. Learn more
Thank you for your interest in one of my sweet Havanese clowns and elegant Russian Salon Dogs! Please help me get to know you by filling out the application below. Thank you so much!!
Today's Date *
MM
/
DD
/
YYYY
How did you hear about us? *
Name  *
Phone number and city/state *
Email *
Tell me about yourself and your family ie. sports, hobbies, interests etc.
Your Occupation and/or Spouse's Occupation
Which breed of puppy are you looking for? *
Required
Do you want a male or female?
Clear selection
What type of personality are you looking for?
Are you aware of the grooming requirements for Havanese and RSD?
Have you read any information about the care of dogs and/or Havanese and RSD?
Is the primary caretaker employed? *
If applicable how many hours per week or days per week do all of you work? *
How many hours will your puppy be alone? (Yes, people have lives and go out and puppies do need to learn to be alone!!!)
Who will be the primary care giver?
Have you ever owned a dog before?
Where will your puppy spend most of its time? Our puppies are sold as in home pets only.
Do you have a dog now or any other pets?
Is anyone in your family allergic to dogs?
Clear selection
Do you live in a house, condo, apartment...own or rent?  If in a rental or apartment are you willing to show proof dogs are allowed?
Do you object to a spay neuter contract?  (agreeing to spay/neuter by a certain age.)
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms