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.
Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Cell Phone *
Your answer
Email *
Your answer
Occupation *
Your answer
Age *
Your answer
Puppy you are interested in
Your answer
Puppy gender you prefer to have
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: *
Your answer
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: *
Your answer
How many adults in the house hold? *
Your answer
How many children in the house hold? *
Your answer
Age and gender of children: *
Your answer
Are any members of you household allergic to animals? *
Who in the household will have the main responsibility of caring for this pet? *
Your answer
Do you own other pets? *
Are your other pets Spayed or Neutered? *
Please list breed, size, and gender of each: *
Your answer
How many dogs have you owned in the past five years? *
Your answer
If you do not still own the dog(s), please describe what happened to it (them). Please be specific. *
Your answer
Are you currently a breeder or have you been a dog breeder in the past?
Will you be attending any training classes? *
Do you plan on keeping this dog primarily? *
Where will dog sleep? *
Your answer
Do you have a regular vet? *
Vets Name: *
Your answer
Vets Phone Number *
Your answer
Vets Address *
Your answer
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?
Your answer
Please provide us with 3 references from your vet, trainer or people who can stand for you that you are good pet owner. *
Your answer
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