Puppy Application 2

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Puppy Application

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Home Address *

City *

State *

Occupations *

Age ( If under 18 ) *

Have you ever owned this breed before? *

Where will the puppy be left when you are away from the home? *

Please specify the breed, age & sex of each animal you own & whether it is neutered. *

How many adults are in your household? *

Would someone be home during the day with a new puppy? If NO, how many hours a day/night would puppy be alone? *

Where will the puppy be left when you are away from the home? *

What type of building do you live in: ie Single family home, condo, apt, duplex etc? *

Do you have a securely fenced yard or patio? If yes, how many feet tall is the fence? *

If NO, how do you plan to deal with exercising and toileting puppy? *

Do you have a swimming pool? If yes, is it separately fenced? (this means separate from the fenced back yard the pool is in) *

Where will your puppy sleep at night? *

Are you willing/able to attend obedience classes? *

Do you have a sex preference for a puppy? *

Do you have a color preference? *

Are you willing to spay/neuter your dog? *

Yes No

Have you done any research on this breed prior to deciding they are the dog for you? *

(If so, please describe where you gathered information.) *

If there ever came a time when you could no longer keep your puppy /dog, describe what you would do with your dog? *

Are you currently on any other puppy / dog waiting lists? *

Are you interested in Showing/Breeding? *

Have you ever bought from, or given-up a dog to, a shelter or pound? If so, why? *

Thank you for your time. You will be contacted at the phone or email you gave if we find that you will be suitable for one of our puppies.

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