Puppy Application Form
Thank you for considering one of our puppies as a member of your family. We are very selective to whom we sell our dogs to. If you would like to be considered for one of our puppies, please fill out the questionnaire.
Email address *
Name *
Street Address *
City *
State *
Zip *
Cell Phone *
Occupation *
Age *
Puppy you are interested in
Puppy gender you prefer to have
Clear selection
What activities do you plan on doing with this dog? *
In a few sentences please describe your situation, and why you want to get a new puppy: *
Do you own or rent your home? *
If you rent, do you have the landlord's permission to keep a dog? *
Do you have a completely fenced yard suitable for a dog? *
Do you have a kennel run? *
Describe fence or kennel run - type, height and size: *
How many adults in the house hold? *
How many children in the house hold? *
Age and gender of children: *
Are any members of you household allergic to animals? *
Who in the household will have the main responsibility of caring for this pet? *
Do you own other pets? *
Are your other pets Spayed or Neutered? *
Please list breed, size, and gender of each: *
How many dogs have you owned in the past five years? *
If you do not still own the dog(s), please describe what happened to it (them). Please be specific. *
Are you currently a breeder or have you been a dog breeder in the past?
Clear selection
Will you be attending any training classes? *
Do you plan on keeping this dog primarily? *
Where will dog sleep? *
Do you have a regular vet? *
Vets Name: *
Vets Phone Number *
Vets Address *
In case of accident or other health related problems do you have enough funds to cover expensive treatment? *
Why do you think we need to choose you among others applicants?
Please provide us with 3 references from your vet, trainer or people who can stand for you that you are good pet owner. (please include phone numbers) *
Are you a Returning applicant *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.