LNR AmStaff Kennels Puppy Application Form

Puppy Application

The information contained in this application is used only for the purpose of placing a puppy and will not be used elsewhere. A $500.00 deposit to hold your puppy will be collected after your application is approved, and will be deducted off the total price of the puppy.
Deposit type

e-Transfer (onlly)
Full Name*

First NameLast Name
Profession / Current Employment*
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number - Home*

Area CodePhone Number
Phone Number - Cellular

Area CodePhone Number
Best Time to Contact You.

Time(Mountain Daylight Time)
Lifestyle:
With these questions, we will be able to match the puppy better with its new home.
Do you live in a:*
Household Setting*

RuralSuburbanUrban
Please list other family members in this household such as a spouse/roommate and children. If any occupants are children, please also include their ages.*
Who will be the primary care giver for your puppy?
Do you work outside of the home?*

YesNo
Is there someone home during the day, or able to get home to "potty" a puppy?*

YesNo
How many hours in a day would the puppy be left alone?
What activities do you and/or family enjoy in your spare time. Great outdoors, walking, exercise, etc.*
Do all members of your family want to get a puppy?*

YesNo
Does anyone in your household have allergies to animals?*

YesNo
If yes, please indicate type, severity and if medication is required to manage.*
What type of personality are you looking for in your dog?
Have you owned a dog(s) before?*

YesNo
If yes, what happened to that dog(s)? *
What gender are you looking for?*

MaleFemaleNo Preference
Would you consider a puppy of any sex if your preference were not available?

YesNo
What are you looking for in your puppy, show, pet, etc.?*
Would you like to have the ears cropped or leave them natural?*
Do you currently own any other pets?*

YesNo
If yes, please identify them (cat, fish, bird, etc.).
Do you have a veterinarian you plan to use?*

YesNo
Vet's Phone Number - Phone/Cellular

Area CodePhone Number
Do you have a fenced yard?*

YesNoPartial
If not, how will you provide security for your puppy when it's outside or when you are away?
For the safety of your puppy, when not in an enclosed fence area, please keep your puppy on a leash at all times.
Where will this puppy spend the day?*
Where will this puppy spend the evening?*
Where will this puppy sleep?*
On average a puppy shouldn’t be alone more than 5 to 6 hrs. a day
Do you understand the time and energy it takes to care for a puppy:*

YesNo
Will you be attending obedience classes with your puppy?*

YesNo
Would you like to have the puppy delivered?*

YesNo
Puppies can be shipped anywhere in Canada with exception of Ontario.
Please bring a crate with you if you are picking up your puppy.
Do you agree to contact LNR Amstaffs in the event you cannot keep your puppy?*

YesNo
Please provide me with any other information you think will help us get to know you and your needs with respect to placing a puppy most suited to your family/lifestyle.
By sending this electronically, I acknowledge that I have completely read this questionnaire and comprehend it fully.

I understand that applying does not ensure approval
Please give us the name, address, phone numnber, and email address, if available, of two references, preferably people who have knowledge about dogs. If this is a show puppy, other active exhibitors are preferable.
Reference 1
Reference 2
Thank you for taking the time to fill out this lengthly questionnaire. We apprecite the time you've taken for us to get to know you better!
Date*

MonthDayYear
Your name*
The $ 500.00 deposit will be returned if your puppy requirements can’t be filled.

Thank you for choosing your puppy from LNR Amstaff Kennels!
E-mail*
Should be Empty: