Alpenglow Amstaffs Puppy Application

Please answer the following questions as completely and honestly as you can. We have the right to deny anyone whom we feel is not a proper fit or suitable home for one of our puppies. All homes will be required to complete this questionnaire prior to ownership approval.

Personal Information

Owner Name(s)*

Address*

Address

Street Address Line 2

City, State, Zip

Email Address*

example@example.com

Phone Number*

Type phone number above

Number of family members in the home:*

Ages of children (if applicable):

Occupation*

Do any of your family members have animal allergies?*

Are you an active military family? If so, do you plan to go overseas?*

Housing Information

What type of housing do you live in?*

Do you own or rent? If you rent, does your lease include or allow pets?*

Will your landlord give you a letter of permission to have this specific breed of dog? Please list your landlord's name and phone number. Type N/A if not applicable to you:*

Do you have a fenced yard? If so, what kind of fence and how tall?*

If you do not have a fence, how will you provide security for the dog when it's outside?*

If in a neighborhood, does your HOA or State/City/County have limitations on pets or Breed Specific Legislation?*

Where will the puppy live? Inside, Outside, or Both? Crate, Kennel, or Free? Please explain:*

Who will provide care for the dog if you leave for an extended period of time?*

Where will the puppy sleep at night?*

Who will primarily care for the dog?*

Does everyone in the household work or attend school all day?*

How many hours per day will the dog be left home alone?*

Will anyone come to "potty" the puppy/dog if you are away for extended periods of time?*

Pet Information

Are you on any other waiting lists for a puppy?*

What attracted you to the American Staffordshire Terrier? What do you want in an Amstaff? What don't you want in an Amstaff? What energy level are you expecting in an Amstaff puppy/adult?*

For what purpose are you buying a puppy? Pet/Show/Dog Sports/Therapy/Service/ Breeding/Other:*

For show/breeding prospect puppies: Have you ever shown a dog to its Championship or Grand Championship title? Can write N/A if applying for a pet puppy.

Are you interested in a male or female puppy?

Have you ever returned a dog to a breeder? If so, what were the circumstances?*

Have you owned an American Staffordshire Terrier, American Pit Bull Terrier, or any "bully" breed in the past?*

If so, please tell us about your dog(s). If not, what experience have you had with this breed, if any?*

List all pets (include age, sex & if spayed/neutered) currently living in your home; please describe personality traits and temperament:*

Do outside family pets ever stay at your home?*

Are you prepared to care for a dog as part of your family for 10-15 years?*

Are you familar with:

The care requirements of an Amstaff? The attention and exercise required for an Amstaff? Breed Specific Legislation (BSL)? Strict travel and housing restrictions for this breed? Please answer all questions.*

The potential breed traits of an Amstaff? Dog selectiveness and/or dog aggression, prey drive, etc.?*

Veterinary Information

Do you currently have a relationship with a veterinarian? If so, please list the clinic name and phone number. If not, do you intend to establish one once your puppy comes home?*

Do you have access to a 24-hour emergency pet hospital?*

For show and breeding prospects: Are you willing to complete OFA health testing at the age of 24 months? Can write N/A if applying for a pet puppy.*

If you plan on breeding, please explain your goals. Can write N/A if applying for a pet puppy.*

Have you ever bred a litter of puppies in the past? What breed(s) and how many litters?*

Other Details

Have you ever given up a dog to a shelter? If so, what were the circumstances?*

Have you ever been charged with animal abuse or neglect? If so, please explain:*

Do you understand the difference between a limited AKC registration and a full AKC registration?*

Please provide two personal (non-relative) references:

1. Name*

2. Phone Number*

Type phone number above

3. Email*

example@example.com

1. Name*

2. Phone Number*

Type phone number above

3. Email*

example@example.com

Please share any other information that may help us with respect to placing a puppy most suited to your family and lifestyle:

I certify that the above questions were answered to the best and fullest of my knowledge, and that all the questions have been answered truthfully.

Buyer*

Date*

MonthDayYear

PUPPY APPLICATION