Service & Companion Dog Application

Green Family Companion Kennel Companion Dog Application
Green Family Companion Kennel is commited to placing great dogs into qualified homes to be true companions to their owners. We carefully select high-quality dogs with excellent temperments to fulfill their purpose in life as a person's best friend.

All of our pets are cared for in-home and receive complete medical care, which includes deworming, vaccinations, vet checkups, and microchipping prior to their placement. We start the puppies socialization, imprinting, manners, and crate training, as well as expose them to many different stimuli in order to set them up for a lifetime of new experiences.

This questionnaire is designed to help GFCK and you determine if one of our Service Dogs or Companion Dogs is right for you and your household. All potential purchasers are required to complete this form prior to purchase. Green Family Companion Kennel reserves the right to deny any purchase based on answers to this questionnaire and/or interviews prior to purchase.
Applicant Information
Your full name:*
Your age:*
Street Address:*
City, State, Zip*
Home Phone:

Area CodePhone Number
Cell Phone:*

Area CodePhone Number
E-mail:*
Employer:*
Character reference and phone number:
Household Information
Are all members of your household in agreement with this commitment?*

YesNoDon't Know
Who will be the pet's primary caregiver?*
Do you live in a*

HouseApartmentCondoMobile HomeOther
Do you own or rent?*

OwnRent
If rent, provide name and phone number of landlord:
Does your landlord allow dogs?

YesNo
Are there any restrictions from your landlord or subdivision?*

Number of petsSize or weight restrictionsBreed restrictionsNone
Do you have a fenced yard?*

Yes, fullyYes, partial fenceNo
Height and type of fence
Do you have any of the following?

Underground fenceKennelDog Run
How many adults are in your household?*
Please list names of adults are in your household.*
How many children are in your household?*
If children, what are their ages?
Have your children spent significant time with animals before?

Yes, dogsYes, other petsNoOther
Does anyone in your home have allergies to dogs or other pets?*

YesNoYes, but not low-allergen dogsYes, but not dogs
Current/Previous Pet Information
List any pets currently you own (type, age)*
List dogs you have owned in the past 5 years (type, age)*
Will you spay or neuter this dog?*
Have you ever given up or re-homed a pet?*

YesNo
If yes, what were the circumstances?Where did you place the pet?*
Please provide the name and phone number of your current and/or previous veterinarian or clinic:
New Pet Information
Breed(s) you are interested in:*

Other
Gender Preference

MaleFemaleWilling to accept either
Adoption fees for GFCK dogs are determined by temperament testing and training level. Price is generally $4,500.*
Quality of Companion you are seeking (adoption fees as listed)*

Family Companion Quality - $1,650CAAT Certified Companion Therapy/Service Quality - $2,000Premium Composition Quality $1,000 extraProfessionally trained - $1,000/month
Quality of Companion you are willing to accept (adoption fees as listed)

Service, Family Companion, and Therapy Prospect - $3500+taxFamily Companion and Therapy Prospect - $2750+taxFamily Companion Quality Only - $2200+taxPremium Composition Quality ("Pick of the litter") - $1k extraProfessionally Trained - $1k per month
What type of personality do you want your dog to have?*
What are you hoping to do with your dog? *
What breed of Service Dog or Companion are you interested in?

Miniature SchnauzerAiredale TerrierOther
Are you aware of crate training?*

YesNo
Have you ever house-trained a dog or puppy before?*

YesNo
How many hours each day will your new pet be home alone?*
Where will your new pet sleep at night?*
How will you supervise the dog's outdoor activity?*
Where will your new dog stay when nobody is home?*
What length of time will you allow your new pet to adjust to your home?*
Are you willing to work through your new pet's issues, if any?*

YesNo
Are you aware that a new environment is stressful for your pet, and they may exhibit uncharacteristic behavior?*

YesNo
Do you understand that a dog can be an 18 year commitment, and could cost $1,000 or more per year for normal care?*

YesNo
Do you plan to take an obedience class with your dog?*

YesNoNot sure
What method of training do you intend to use with your dog?*
What circumstances would lead you to give up your new dog?*
If you had to give up your dog, would you agree to give the first right of refusal of the dog to the breeder, free and clear?*
How did you find out about Green Family Companion Kennel?*

Google searchFacebookInstagramFriend/Family MemberGoodDogRedditOther
I understand that I will be considered as a placement for a dog by filling out this application. If I am approved, I will place a down payment to be on the waiting list for a puppy. Filling out this form alone does not place me on a waiting list or guarantee me a dog.
If you are inquiring about a specific dog, please list the dog's name here:
Should be Empty:

Green Family Companion Kennel Companion Dog Application

Applicant Information

Household Information

Current/Previous Pet Information

New Pet Information