Puppy Application
Please fill out the form below and submit it to Nicker Barker Farm to help us evaluate the fit of our puppies with your family.
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Email Address
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How did you hear about Nicker Barker Farm and our dogs?
Have you or your family had a dog before?
What happened to your most recent dog?
What other animals do you have in your home?
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How many children are in your home and what are their ages?
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Who will be the primary care giver for the puppy?
If a child, include his/her age.
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Is anyone in the family not in favor of adopting a puppy?
If you answered "yes" to the last question, who is not in favor of adopting a puppy?
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Please describe the environment in which your puppy will be raised:
Do you plan to...
Do you agree to provide feedback and pictures to Nicker Barker Farm?
Do you have a preference for the puppy's sex?
Do you have a preference for the puppy's mother?
Do you have a preference for the timing?
Any comments, questions, or concerns?
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Please keep in mind that the order of receipt of a deposit will determine the order of the pick in any litter. After submitting, please call us at 814-364-1108 or email us at nckrbrkr@aol.com to assure that we have received your form.
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