App- Riche’ Louisiana Yorkie Application
Please fill this out, and we will get back to you. Text after submitting 985-320-4182. Thank you so much! Cary and Melissa Riche’
Sign in to Google to save your progress. Learn more
Email *
Are you familiar with small breeds and blood sugar issues?     Do you understand food must be given regularly and clean water during young stages? *
Please tell me about your home briefly.   What hours will this puppy be left alone during the day?  Have you made plans to care for their safety during this time? *
Any questions?   Text me at 985-320-4182
If you are interested in moving forward to make a predeposit to get on the waiting list or put a deposit on a puppy, please text me at 985-320-4182.    I do not always see the application come through. Please understand all predeposits and deposits are non refundable.     *
Name *
Please tell me all you know about Yorkshire Terriers. *

Why do you want a yorkshire terrier? * *
Have you ever surrendered an animal to a shelter? If so, why? *

Have you ever been convicted of animal cruelty, animal theft, or animal abandonment? * *
Do you agree to give quality to care to your puppy? *
Required
Ages of everyone in home (*primary caregivers) *
What litter(s) do you prefer?  Check all that apply *
Required
Will you keep up with all vaccinations and give quality food? *
Required
Address *
Do you agree to not breed your puppy without paying breeding right fees and getting prior permission?  Do you agree to fix your puppy at vet recommended age, unless breeding rights have been given? *
Required
Please list your Veterinarian and their phone number. If you do not have one, please explain why. * *
Phone Number (cell)  Do you text or call only? *
Have you owned a small toy breed before?  Do you understand the expenses associated with this breed including vet care, high quality food, and grooming can be expensive? *
How will your new yorkie be kept?   Do you understand that they cannot be kept outside without supervision?   Please list in detail how your puppy will spend it's time. * *
I agree to contract below.   *
Required
I agree to contract below.   *
Required
Are you wanting a male or female?  Or either one? *
I understand that my predeposit and deposit are nonrefundable.  They will be transferred only to a new puppy in case of illness or loss.   Initial below. *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms