Puppy Application
North Winds Kennel
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
example@example.com
What do breed do you want?
*
First Color Choice
First Gender Choice
Male
Female
Either
Would you take a puppy that doesn't match your first choices?
Yes
No
Do you have a veterinary?
Yes
No
If yes, who is your veterinarian and what clinic?
Is this your first puppy?
Yes
No
Is this your first dog?
Yes
No
Do you have any other pets in the house?
Yes
No
If yes, what other pets do you have in the house?
Do you own or rent your home?
Own
Rent
What type of housing do you live in?
Single family home, apartment, acreage, farm
How many adults live in your household?
How many children live in your household? Ages of children?
Is anyone in your household allergic to dogs?
Yes
No
Will you take your puppy to training classes?
How many hours a day will your puppy be left alone?
Will you be picking your puppy up or flying?
Any other questions or comments?
I have read and understand this questionnaire is to help with placing puppies with appropriate families.
*
I agree
Submit
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