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.
Name
Your answer
Telephone
Your answer
Address
Your answer
Email Address
Your answer
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?
Your answer
Age(s):
Your answer
Neutered?
Your answer
How many children are in your home and what are their ages?
Your answer
Who will be the primary care giver for the puppy?
If a child, include his/her age.
Your answer
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?
Your answer
Please describe the environment in which your puppy will be raised:
Location
Exercise
Rest
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?
Your answer
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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