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Adoption Application
First name
*
Last name
*
Email
*
Phone
*
Multi-line address
Country/Region
*
Address
*
City
*
Zip / Postal code
*
Do you own or rent your home?
Names, ages, and relation of everyone in your household.
*
Occupation
*
Please explain to us your work schedules, who is home regularly during the daytime that will be able to care for a new puppy. If nobody is home, please explain to us what your plan is for the puppy's daily care.
*
Gender Preference
*
Either
Male
Female
Size Preference
*
Tiny Toy (4-6lbs)
Toy (6-8lbs)
Large Toy/Small Mini (8-12lbs)
Is there a specific litter/puppy/dog you are interested in?
*
Does anyone in your family suffer from allergies? If yes, please explain.
*
Do you have children? If yes, what are their ages?
*
How would you describe your lifestyle?
*
Do you have a fenced yard?
*
How would you describe your experience with dogs?
*
Have you ever owned a dog?
*
Yes
No
If you have owned a dog before, which breeds? Where are they now?
*
Do you have other pets? If so, what are they?
*
Where will your puppy be during the day?
*
Where will your puppy be kept at night?
*
Are you aware of the time and energy needed to care for a young puppy, and are you willing to accept the responsibility?
*
Yes
No
Are you able to afford the cost of care for your puppy for his/her lifetime?
*
Yes
No
Is there anything you would like us to know about you or your family that would help us during the puppy matching process?
Do you have a regular veterinarian that we can contact? If yes, please list the name and number of the Veterinarian.
*
Reference #1 Name
*
Reference 1 Phone Number
*
Reference #2 Name
Reference 2 Phone Number
*
How did you hear about us?
*
I have answered all questions truthfully to the best of my ability.
Submit
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