Puppy Application Form
Please complete this form if you are interested in getting more information from or adopting a puppy.
Email address
Name of applicant/s (first & last)
Your answer
What is your physical mailing address?
Your answer
Email address
Your answer
Cell Phone
Your answer
Home Phone
Your answer
Occupation:
Your answer
How did you hear about us? If from internet,which site?
Your answer
The following information will help us learn about you and match you with the right dog for you: Will your new dog be a family companion or a breeding? (please check breeding dog even if you plan on having 1 litter)
Required
Do you prefer a male or female? (We cannot guarantee gender since we never know how many females or males we will have in a litter)
What color puppy do you prefer?
Do you have any other pets in the home? If so, what are they.
Your answer
Do you have children? If so, how many and ages?
Your answer
Does anyone in your family have allergies?
Will this be your families first dog?
Tell me about your experience with dogs?
Your answer
Are you living in a house, condo, apartment or other?
Do you have a fenced yard?
Will somebody be home during the day?
If you work outside the home, will your dog be home alone and if so how will it be confined? please explain
Your answer
Will your dog be kept outside?
Your answer
How and when will your dog get exercise?
Your answer
Where will your dog sleep at night?
Your answer
Will you take your dog for obedience training?
Will you be keeping your dog for its lifetime?
Are you aware of the cost of caring for this puppy? ie vaccinations, de-wormings, food, heartworm meds, crate, bedding, toys, grooming, etc?
Do you currently have a vet? If so, what is their name and phone number.
Your answer
Is there anything else you'd like to tell me that you feel would be important for me to know?
Your answer
May I add you to my mailing list?
Applicant's signature
Your answer
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