Puppy Application

Your Name *

First Name

Last Name

Spouse / Partner's Name

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Home Phone

(###)

###

####

Mobile Phone *

(###)

###

####

What is the reason you're looking for a puppy? *

Check all that apply.

Pet

Service Animal

Therapy Dog

Show Dog

Breeding Purposes.

What gender of the puppy are you looking for?

Male

Female

Who will be the primary caregiver of the puppy? *

Self

Spouse/Partner

Child

Family Member

Other

When are you planning to adopt a puppy? *

Now

In the next 3-12 months

In the next 12+ months

Do you plan to have the puppy trained by our trainer? *

No training

Training by self

Training by trainer

Where will the puppy live? *

House

Condo

Apartment

Mobile Home

Do you own or rent? *

(if renting you must make sure you are allowed to have a pet)

Own

Rent

How much time do you expect the puppy to spend alone in your house during any given day? *

0-4 hours

4-8 hours

8+ hours

Do you currently have any other pets? *

Check all that apply

Dog

Cat

None

Other