Puppy Purchase Application
Please fill out this form.
Full Name
*
First Name
Last Name
Contact Number
*
E-mail
*
example@example.com
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Family Information
How many people are in your household? I
*
Include you in total
Do you have any children?
*
Yes
No
If yes, what is/are their ages?
Does everyone in the family agree on getting a dog?
*
Yes
No
Who will be the primary caregiver of the puppy?
Does anyone in your household have allergies to animals/pets?
*
Yes
No
If yes, to what and how severe?
Do you have any other pets in your home?
*
Yes
No
If so, breed and age
Have you or anyone in the household been convicted of animal cruelty or animal hoarding?
*
Yes
No
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Puppies Environment
Type of Home
*
Please Select
House
Condo
Apartment
Mobile Home
If you are renting, are you allowed to have a dog and the minimum age the dog has to be?
Do you have a yard?
*
Yes
No
If yes, is it fenced?
Will you be willing to build a secure space or suitable pen for the dog so it can burn off energy without being supervised?
*
Yes
No
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Puppy-related Information
What is the name of the pup you are interested in?
*
If you are undecided type "undecided"
What breed are you interested in.
*
Yorkipoo
Shihpoo
Toy poodle
Cockapoo
What gender are you interested in?
*
Please Select
Male
Female
N/A
Why do you want this specific breed?
*
What do you expect the activity level of this breed?
*
Please Select
Very High
High
Moderate
Below average
Are you aware of the health issues that may affect this breed?
*
Yes
No
What are the important factors for you?
*
Conformation (looks)
Breeding potential
Temperament
Fieldwork or hunting ability
Gender
Pet Therapy
Search and rescue
Family Companion
Ability to compete in obedience or agility
Show dog quality
Other
Where will the dog live?
*
Please Select
Inside
Outside
Both
Where will the puppy be kept during the day?
*
Where will the puppy be kept during the night?
*
How many hours a day will the puppy be kept outside?
*
Is anyone going to be at home throughout the day?
*
Yes
No
How many hours a day will the puppy be left alone?
*
Are you interested in showing the dog in the conformation ring?
*
Yes
No
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Dog Breeding
Do you plan on having the dog spayed or neutered?
*
Yes
No
Do you intend to breed this dog?
*
Yes
No
Have you had experience breeding dogs?
Yes
No
If yes, how long
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Do you have any questions or other information you want to share? Feel free to let us know!
Submit Application
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