Application to Adopt

1
EmailWhat is the best email to reach you at?
example@example.com
2
NameLet us know who will be responsible for the puppy?
First Name
Last Name
3
Phone NumberIn case we need to call or text you, what number is best?
Please enter a valid phone number.
4
AddressLet us know where you are coming from?
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
5
Dog/Litter of ChoiceWhich litter/dog would you like to adopt from?
6
Your AgePlease tell us your age, don't worry we won't share this with anyone!
7
How did you hear about us?We would love to know how you heard about us!
8
Are there any children in the household?Our dogs are great with children.
9
Why do you want to adopt from us?We love knowing why families are looking to adopt a pet!
10
Tell us about your current or past dog experiences?Do you have any experiences we should know about or could help educate you on?
11
Have you ever given a dog to a shelter or rescue?We ask this because it helps us figure out how to best assist you in the learning process of growing puppies!
Yes
No
12
Potty & Exercise PlanPlease tell us how you will be exercising with your dog and taking him/her potty?
Fence (Privacy or In-ground)
Dog Park
Walks on leash
13
Sleeping ArrangementsWhere will your puppy sleep?
14
Puppy companionshipHow many hours per day will your puppy be without a human companionship (excluding sleep time)?
15
Puppy BoardingWhere will you leave your puppy when you are not home?
16
Gender Preference
Male
Female
Either
17
Puppy ColorsTell us what your preference is for colors.
Tan
Red
Merle
Brown
Black
Any
18
TemperamentWhat is your preferred temperament of your puppy?
Any, I accept the challenge of a puppy!
Active (Good for families who like to be outdoors and active)
Balanced (Good for families who are low key and looking for companionship on the couch)
Low Energy (Good for empty nesters and anyone just looking to chill)
19
Delivery & PaymentYou do not have to decide now, but this helps us figure out how you and your puppy will meet to plan for arrangements!
Pick Up (FREE)
Meet 2 hours from our location ($100)
Meet 4 hours from our location ($400)
20
Payment Terms and ConditionsThe cost of a puppy averages $1800-$2500 + sales tax and credit card fees if applicable. A deposit of $500 is required, which will be collected at the end of this application. Final payments should be paid by cash or cashier's check only. We will not accept personal checks. All transactions will include an additional 7% fee for Indiana Sales Tax. Your deposit will be applied to the price of the puppy and is non-refundable. The prices on the website are the prices honored. Please Note: The Adoption Fee is non refundable for any reason you do not want the pet you will Not receive a refund of any payments made. It is very important you read this and understand this completely.
I agree
21
Final PaymentHow will you make your final payment for your new puppy?
Cash
Cashier's Check
22
I understand and agree to the Health Guarantee.Please note: Life-Threatening Congenital defects are serious issues that the puppy is born with and will not survive as a result. This does not cover Parvo, Parasites, or any common ailments. We have a rigorous de-worming protocol with a 90% success rate, however puppies can have parasites. You are asked to run a fecal at your first vet apt. and if treatment is needed we will mail it to you given the puppy was seen within 2 days. The stress of moving will cause dormant parasites to be seen and can be detected at the first visit.If the veterinarian finds anything seriously wrong with the animal, it will be exchanged for another puppy or dog of equal value of the customer’s choice at once, or when one is available, providing a letter from the examining veterinarian is offered as evidence of animals illness and the animal is returned within the guaranteed time as stated above (2 days).It is understood that there is no other warranty made other than what has been stated above. In case of the death of this animal, an autopsy must be arranged for by the buyer and the findings submitted to Seller before any arrangements or exchange will be considered.The seller also assumes no responsibility for the buyer changing their minds for whatever reason once the Puppy/Dog or is in their possession (Coat Color, Coat Type, Markings, Size, and so on). Due to photos and visits when possible there is no reason for misunderstandings in this area. We cannot guarantee a specific adult color or size. Mother nature has everything to do with the adult appearance.Temperament and conformation are most important to us when making breeding decisions. If you do not understand this, please ask. We only offer exchanges we will not refund money if this is not agreed upon the sale will be canceled.
23
I understand the spay and neuter terms.There have been no breeding rights purchased and Buyer agrees to have the above-described puppy spayed/neutered. Proof of the spay/neuter must be received by the time the puppy/dog is one (1) year old. In the event the puppy/dog’s health does not allow the spay/neuter agreement to be honored, Seller must be provided a statement from your licensed veterinarian that this puppy/dog is not yet in physical/emotional condition for surgery. Based upon your licensed veterinarian’s evaluation of this puppy/dog the Buyer will contact the veterinarian and establish the earliest date that the spay/neuter can be performed and twill notify Seller of this amendment in writing. IT IS THE RESPONSIBILITY OF THE BUYER, NOT THE VETERINARIAN, to ensure the Seller has received verification that the surgery has been performed. Failure to comply with the spay/neuter portion of this contract by the time the puppy/dog has obtained the age of one (1) year, unless otherwise agreed in writing, will be considered a breach of this Contract, and the Buyer will transport the dog/puppy back to Seller and will not be entitled to a refund. By signing below, you agree to these terms and conditions.
24
Agreement to Information and ApplicationI Agree to all statements on this Application Form and by signing below, I certify that the information provided above is true and correct to the best of my knowledge. I understand that by completing this application, I will not automatically be approved to adopt from Brunsman Country Doodles, LLC. A telephone consultation will be conducted prior to accepting a deposit. Lastly, I understand that if I have given any false information or I have not completely answered all questions, this application will be automatically denied. My signature below states that I understand the terms of the application and I give permission Brunsman Country Doodles of Sunman, Indiana, to use any and all information provided to complete a background check.
25
My Products
prevnext( X )
My Bag
2
My Bag
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
ORDER SUMMARY
Total costUSD
$500 Deposit
This is a non-refundable deposit for your puppy.
$500.00Edit
Back
Processing Fee
This is the processing fee through the online payment system. If you do not want to pay this fee you may Venmo me at @Stevie-Brunsman
$14.80Edit
Back
Total cost $0.00
Credit Card
First Name
Last Name
Should be Empty: