Puppy Application

First name

Last name

Email

Phone

City & State:

About Your Home

Own your home

Rent your home

If you rent, does your landlord allow dogs?

Yes

No

N/A

Who lives in your household? Please include adults, children, and their ages:

Does everyone in the household agree to getting a puppy?

Yes

No

Which puppy are you interested in?

Preferred gender:

Male

Female

No preference

Do you currently have any pets?

Yes

No

If yes, please tell us what kind and how many:

Have you owned a dog before?

Yes

No

Are you looking for a puppy primarily as a:

Family companion

Emotional support/therapy prospect

Breeding prospect

Other

Approximately how many hours per day will the puppy be home alone?

Where will the puppy stay while you are away from home?

Are you prepared for the financial responsibility of a puppy, including food, grooming, veterinary care, vaccinations, training, and unexpected medical expenses?

Yes

No

Who will be primarily responsible for caring for the puppy?

Are you willing to provide regular veterinary care and keep your puppy up to date on recommended vaccinations and preventative care?

Yes

No

Why are you interested in adding a puppy to your family?

If for any reason you could no longer care for your puppy, what would you do?

Is there anything else you would like us to know about you or your family?

Agreement:

By submitting this application, I understand that completing an application does not guarantee approval or reserve a puppy. Applications will be reviewed to help ensure the best possible match for each puppy and family.

I have read and understand the statement above.

Applicant Name

Date