Puppies under Foot

Pet Parent*

First NameLast Name

Email Address*

Phone Number*

Area CodePhone Number

Address*

Street Address

Street Address Line 2

CityState

Zip Code

What breed are you interested in?*

Do you prefer a Male or Female puppy?*

FemaleEither oneMale

Do you have pets currently?*

YesNoOther

If yes, what kind. For dogs, include breed and age

Do you own or rent your home?*

OwnRent

Do you have a yard?*

YesNo

If "Yes" to the above, is it fenced?

YesNo

What is your landlord's pet policy?*

How did you hear about Puppies under Foot?

How many adults in the home?*

Are there children in the home? (If yes, please list ages)*

How many hours per day would the pet be alone?*

Is the puppy a gift or intended for someone other than yourself?*

Would you be willing to sign a contract prior to adoption?*

Signature*

* This assures us that this is a dog you are buying for YOURSELF and will be well cared for throughout its life and should you be unable to keep the puppy/dog at any time during the lifetime of the dog, he/she will be returned to us to find another suitable home.