Puppy Application
Lacey Nagel - Waukon, IA 52172
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Breed preference
American Corgi, Cowboy Corgi, Schnoodle, Poodle, Maltipoo
1st Color Preference
Merle, Tri - black and tan, Red/White, No preference
1st Gender Preference
Male or female
Are you willing to consider a puppy that does not match your first preferences?
sex/color
Do you have a veterinarian? If so, who and what clinic
Is this your first dog?
Do you have other pets in your house? If so, what kinds and ages are those pets?
Do you own or rent? If renting, does your landlord allow pets?
Type of housing?
single family in town, single family in country, apartment
How many adults are in your home?
How many children are in your home?
Are all adults in agreement on purchasing a puppy?
Is anyone in your family allergic to dogs?
How will you train your puppy?
puppy classes, private trainer, trained by you
Are you planning on crate training your puppy?
How many hours per day will your puppy be left alone?
Are you able to pick up your puppy, or will it need to be flown?
Do you agree to give me follow up reports and pictures?
Do you agree to contact me if you're not able to keep your puppy?
Do you have any further questions?
How would you like me to contact you?
email, text, phone call
I have read all questions and understand this questionnaire will help in placing puppies with their forever home.
yes
Signature
Submit
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