RaisingDane Puppy Application
Buyer
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
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?
Submit
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