Southern Sunset Kennels Application

Name/Number of Puppy you are interested in:*

Breed of Pup you are looking for:*

Name of Individual(s) wanting to purchase puppy:*

Address:*

City*

State*

Zip Code*

Email Address to Reply to you at:*

Cell Phone Number*

Area CodePhone Number

Home Phone Number*

Area CodePhone Number

Name of Individual to whom the pup will be registered if allowed to purchase. You can register a pup under more than one owner but there will be a extra fee for adding a co-owner when you register the pup. *

Relationship of Individual to You:*

What is the purpose of the puppy?*

Do you have children?*

YesNo

What are their ages?*

Who will be responsible for monitoring the young children while they are around the pup to make sure they respect it and do not cause injury to the pup?*

Does everyone in your family approve the idea of getting a puppy?*

YesNo

Who will be responsible for the care of the dog while around young children?*

Do you prefer a male or female?*

MaleFemale

What color puppy are you looking for? Also include if you want the pup to have a full collar, blaze on face, white feet, etc. If it does matter then please state that. It will help me to know if I have what you are looking for.*

Do you live in?*

Do you own or rent your home?*

OwnRentLease

If you rent, do you have permission from your landlord? (Important that you verify with your landlord to make sure that they approve so that you can keep your pup and do not have lose it because of not being approved). Some landlords will allow adult dogs but not pups. So please make sure that you have gotten approval from the landlord. You do not want to get a pup and then get home only to find out that the landowner will not allow you to keep the pup and then what will happen to the pup. This is not fair to the pup and can be heartbreaking to a family, especially a family with kids. So, please make sure that you check with your landlord. Make sure to check and see if you have a puppy fee to pay to the landlord.*

YesNoHave not checked with Landlord.N/A (Own)

Why are you chosing this breed?*

Do you have any dogs or pups at this time?*

Please list below the breed of dogs, their weights, ages, sex (spayed, neutered or neither), personality, etc. that you presently have.*

Please type the name of your vet, phone number that your present dogs go to or that your new dog will go to.*

Do you have a problem with me contacting your vet?*

YesNo

Are your dogs up-to-date on their vaccines*

YesNoN/A (Not Applicable) No Dogs

Do anyone in your household have allergies to dogs?*

YesNo

If "Yes", how do you plan on having a dog without it affecting the individual in your household? (Type in "NA" if there are no allergies.)*

Do you have a fenced yard?*

I have a completely fenced yard.I have a partially fenced yard.My yard is not fencedI have plans in the near future to get my yard fenced.

If you do not have a completely fenced yard, what are your plans on preventing the pup/dog from getting in the road and getting hit?*

Please list any other information that you believe is important:*

Where did you see or hear about my puppies from?*

Have you read the FAQs? (If not, please do so. It will answer most of your questions, I believe.)*

YesNo

Enter the message as it's shown*

Have you entered in information in ALL the spaces above that has the red "*"? If not, your form will not be submitted to me.

YesNo