RaisingDane | 641916

Puppy Application
Buyer *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
General Knowledge
Have you ever owned a Large Breed do before? *

Yes No
Do you spend extended hours away from home? *

Yes No
What type of home do you have? *

Townhouse Single-Family Mobile Home Apartment
What size back/front yard do you have? *

Small Medium Large
Do you plan to pick your puppy up from us? *

Yes No
Background
Are there any children under the age of 3 in your home? *

Yes No
List any additional pets in your home.
optional
Do you plan to clean up the Poo in the yard yourself, or hire a company? *

Myself Hire someone
Is anyone in your household allergic to dog fur, or dander? *

Yes No
Does doggy slobber bother you? *

Yes No
Will your puppy be allowed on your furniture? *

Yes No
Promoting Good Health
Have you chosen a Veterinarian? *

Yes No
Have you researched flea/tick control? *

Yes No
What product do you plan to use?
Positive Note
If you could say anything to your puppy right now, what would you say?
Should be Empty:

Puppy Application