Puppy Application Form

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

What is your preference - Please advise male or female and colour *

Have ypu ever raised a puppy before, if YES, what breed? *

Have you owned a dog before, if yes, what type? *

How many hours a day, if any, will the puppy be left alone at home? *

What provisions have you made for housing the puppy when it is alone? *

Are there other family members in the household that will share the care of the puppy? *

Are there children in the household, if so, what ages? *

Have the children been around dogs before and know how to treat them? *

Are there other animals inthe household, if yes, what type? *

Do you have a garden or access to outside areas where the puppy can be allowed to run off lead? *

What provisions have you made for training and socialising the puppy? *

What provisions have you made for the care and maintenance of the coat and health of the puppy? *

Are you planning to breed from your dog? If so, are you aware of the health tests required for the breed? *

Any other information you may deem of interest or important *

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