Application Form Please complete the questionnaire below Spam protection, skip this field Personal Information: Name: Last Name: Home Address: Phone 1: Phone 2: Email: Occupation: Family Information 1) Spouse Name: 2) Number of family members: 3) Do you have any children? Yes No 4) Who will be the primary caregiver of the puppy? 5) Have you ever owned a dog before? Yes No 6) Do you currently have other pets/animals? Yes No 7) If yes, please specify: 8) Have you ever given a pet away? Yes No 9) If so, what were the circumstances: Housing Information 1) Type of Dwelling: House Condo Apartment Mobile Home 2) Do you have a yard? Yes No 3) If not, how will the dog exercise? 4) Will the dog receive crate training? Yes No Puppy-related Information 1) What activity level are you looking for in your puppy? (Temperaments vary, we will always try to match you with the best puppy for your lifestyle) Very High High Moderate Below average 2) Are you interested in: Male Female 3) What are the important factors for you? Rank the following with 1 being the highest priority: Conformation (looks) Temperament Flyball ability Gender Pet Therapy Family Companion Ability to compete in obedience or agility Show dog quality Others: (optional) 4) Where will the dog live? Inside Outside Both 5) Where will the puppy be kept during the day? 6) Is anyone going to be at home throughout the day? Yes No 7) How many hours will the dog be left alone? 8) Will you be attending any training classes with the puppy? Yes No 8) If yes, what age will you start? 9) Do you have any questions or other information you want to share? Feel free to let us know! Validate your submission Save draft
