Active Companion Puppy Application
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Preferred Contact Method
*
E-Mail
Phone
Location/State
*
Do You Have Children?
*
Yes
No
If So, List Age(s)
Do You Have Other Dogs or Animals?
*
Yes
No
If So, Please List Breeds/Ages of Dogs, Species/Number of Other Animals
Please List Your Experience With Dogs
*
What Training/Behavior Issues Have You Had With Past Dogs?
*
Have You Ever Rehomed/Sold or Euthanized a Past Dog For Behavior Issues?
*
Yes
No
If Yes to the Above Question, Please Describe The Dog/Behavior/Situation
**THIS IS NOT A JUDGEMENT** I am simply gathering information to determine if I will have a puppy/dog suitable for you/your household
Do You Work With A Trainer? If So, Who? (List Contact Information)
*
What Is Your Dog Training Experience?
*
Please Describe Your Ideal Dog (In Detail)
*
Optional - References And Their Contact Information
Veterinarian, Training Directors, Trainers or Dog Professionals You Know Personally, Character Reference etc
Other/Comments/Questions
Please feel free to ask questions and to include any information about yourself, your lifestyle, your general experience that you feel is relevant but not covered in the above questions.
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