Puppy Application

Name:*Email Address:*

Address

Street Address:

City:

State:

Zip Code:

Home Phone:

Work Phone:

What do you do for work?Who is your Veterinarian?

May We Contact them? Yes No

Please Provide Two References

Reference #1:Street Address:

City:

State:

Zip:

Reference's Phone:

Reference #2:Street Address:

City:

State:

Zip:

Reference's Phone:

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Further Information

Please list names and ages of the people in your household.Please list other pets in the household and whether they are spayed or neutered.

Spayed? Yes No

Who will have the primary responsibility for the care and training of your puppy?Please tell us about the other dogs you have owned/trained?What activity level will your puppy encounter in your home?What activities would you like your dog to do?Please describe where your puppy will stay during the day.Please describe where your puppy will sleep.How and where do you plan to confine your puppy when you are not with them?What plans do you have for house training your puppy:What foods do you plan on feeding your puppy/dog? Have you considered a raw diet?What exercise do you plan for your puppy/dog?Do you have a fenced yard, or access to outdoor space where the puppy can safely play? Please describe where the puppy can play.Anything else you want us to know about you? Please include any questions and/or comments you may have here:

Puppy Application

Please Complete our Application Below:

Address

Vet Info

Please Provide Two References

Further Information