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: