Puppy Buyer Application

Date:

Name:

Phone:

Address

Apartment, suite, etc.

City

State / Province

Country

Email:

Everyone in the home agrees on getting a dog? YesNo

Do you have any children in the home?YesNo

If you have any children in the home, what are their ages?

Do you already have pets in the home?YesNo

If you have other pets in the home, how many and what kind?

Does anyone in the household have allergies to dogs?YesNo

Have you ever owned this breed of dog before?YesNo

Who will be the primary caregiver for the puppy?

What will happen to the puppy/dog if there become changes in your family situation? (Such as a new baby, change in occupation or moving to a new residence)(Such as a new baby, change in occupation or moving to a new residence)

Name of the puppy you liked:

Why did you choose this puppy?

Do you intend to breed this dog?YesNoOur puppies are sold as pets with limited registration, which prohibits their use for breeding purposes).