Puppy Application
Name:
Address:
City, State & Zip code::
Phone #:
Email Address:
How did you hear about us?:
Type of Dwelling?:
Own or Rent?:
Name and phone number for landlord?:
How long at this address?:
Name, address and phone # for veterinarian:
How did you hear about this breed?:
What kind of information do you already know about this breed?:
Where will the puppy be kept at night?:
Where will puppy be kept during the day?:
How many hours a day will the puppy be left alone?:
Do you have other pets? If so what are they?:
Do you have children, if so what are their ages?:
How many hours a day will the puppy be kept inside/outside?:
Have you ever housetrained a puppy before?:
Will you be attending any training classes?:
Are you interested in a male or female?:
Have you considered and older puppy or dog?:
Are interested in showing this dog in confimation events, or other events such as Rally, Obedience?:
Do intend to breed?: yes no
Do you understand the difference between limited and full AKC registration?: yes no
Have you ever returned a pet to a breeder? What were the circumstances?:
Have you ever re-homed a pet? What were the circumstances:
Have you ever surrendered a pet to a pound/shelter?: yes no
Are you a memeber of any animal related groups, such as breed clubs, rescues, etc?: yes no
Please type the text below: