New Puppy Application

Puppy Application-PLEASE FILL OUT EVERY QUESTION OR YOUR APPLICATION WILL NOT BE SUBMITTED

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

What is your age? *

Please Specify Family Situation *

PLEASE LIST ALL MEMBERS OF YOUR HOUSEHOLD AND AGES OF CHILDREN: *

IF YOU HAVE CHILDREN ARE ANY OF THEM FEARFUL OF DOGS? DO YOUR CHILDREN HAVE EXPERINCE AROUND YOUNG PUPPIES OR DOGS. CHILDREN MUST BE TAUGHT TO BE GENTLE BUT CONFIDENT AND RESPECTFUL OF A YOUNG PUPPY AND HOW FRAGILE THEY CAN BE *

DOES ANYONE SUFFER FROM PET ALLERGIES? *

EXPLAIN YOU HOUSING *

Own home in town with fenced yard Share apartment with friends Rent house with fenced yard and have landlord approval Rrent apartment and have paid pet deposit and have landlord approval

LIST YOUR CURRENT PETS--AGES, BREEDS AND IF THEY ARE FIXED OR NOT *

DO YOU AGREE TO SPAY OR NEUTER? FEMALES BY 6-9 MTHS, MALES BY 6-9 MTHS OF AGE *

Yes No Not Sure I am a breeder

CURRENT OR PREVIOUS VETERINARY (PLEASE GIVE YOUR VET PERMISSION TO TALK TO US) *

VET PHONE NUMBER *

WILL THE COST OF CARING FOR THIS PUPPY FIT INTO YOUR BUDGET? (PUPPY VACCINATIONS, MONTHLY HEARTWORM AND FLEA MEDICATION, ANNUAL EXAMS AND VACCINES, TRAINING, FOOD, CRATE, BEDDING, TOYS, GROOMING PRODUCTS, ETC. PUPPIES REQUIRE FOLLOWUP VACINATIONS AND MONTHLY DEWORMING AND HEART WORM PREVENTION. YOU ALSO NEED TO KNOW THE GENETIC TENDENCIES AND ISSUES EACH BREED CAN HAVE. THIS IS A MAJOR DECISION AND SHOULD NOT BE AN IMPLUSE BUY. PUPPIES ARE LIKE CHILDREN--THEY ARE EXPENSIVE AND WILL LIVE WITH YOU A LONG TIME AND YOU MUST LOVE AND CARE FOR THEM NO MATTER WHAT AND NOT DISPOSABLE OR EXCHANGABLE AND REFUNDABLE! *

Yes, I understand the commitement Not sure at this time Cost may keep me from vet care

YOUR WORK SCHEDULE, DOES IT ALLOW FOR TIME FOR A PUPPY? DOG WALKER MAY BE NEEDED FIRST COUPLE MONTHS, IF YOU WORK *

ARE YOU COMMITTED TO CARING FOR THIS PUPPY FOR HIS/HER LIFETIME? (AVERAGE LIFESPAN IS 10-12 YEARS) *

WE REQUEST THAT A DOG BE RETURNED TO US, AT ANY POINT IN TIME, SHOULD YOU DETERMINE YOU ARE NO LONGER ABLE TO CARE FOR YOUR DOG. ARE YOU WILLING TO AGREE TO THIS? *

HAVE YOU RESEARCHED THE BREED AND KNOW THE REQUIRMENTS HEALTH CARE AND HOW TO PROPERLY CARE FOR YOU NEW PUPPY? *

WHICH PARTICULAR PUPPY ARE YOU INTERESTED IN? NAME, COLOR. IF JUST ON WAIT LIST MAY LEAVE BLANK *

GENDER *

WHEN ARE YOU HOPING TO BRING PUPPY HOME. EXAMPLE: ASAP, FALL, WINTER, AUGUST, OTHER. (REMEMBER WE CAN NOT PROMOSIE ANY TIME LINE. *

IF THERE IS ANY OTHER INFORMATION YOU FEEL I SHOULD KNOW ABOUT YOU OR YOUR FAMILY OR YOU HAVE ADDITIONAL QUESTIONS FOR ME PLEASE LIST HERE *

DO YOU UNDERSTAND THAT THE DEPOSIT IS A NON REFUNDABLE DEPOSIT *

HAVE YOU OR YOUR SPOUSE SERVED IN ANY BRANCH OF THE MILITARY? IF SO PLEASE LIST.. *

HOW DID YOU HEAR ABOUT US? WERE YOU REFERRED BY SOMEONE (IF YOU ANSWER YES, PLEASE PROVIDE DETAILS). *