Puppy Application

DETAILS ABOUT YOU:
Name
Last Name
Phone Number

Area CodePhone Number
Address
Street Address
City
Address

Street Address Line 2

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
YOUR DOG EXPERIENCE
Have you ever owned a dog before?

yesno
How many dogs do you currently own?
What breed of dogs do you currently own?
What made you decide to purchase a French Bulldog?
Have you ever placed a pet in a shelter?

yesno
How many adults live in your home?
How many kids live in your home?
Is anyone in the home allergic to dogs?

yesno
Are all members of your household comfortable around the presence of a puppy that could nip, chew and jump during it's training stages?

yesno
What are your plans for housing, training and exercising your puppy?
What kind of home do you live in?

HouseApartment/CondoMobile HomeRV or Trailer
Do you rent or own your home?

rentown
Do you have a fenced yard?

yesno
If no, what arrangements will you have for the dog's toilet duties?
Where will this dog spend the day?
Loose indoors, crate, basement, garage, fenced yard, kennel run, loose outdoors, etc.
Where will the dog spend the night?
Loose indoors, crate, basement, garage, fenced yard, kennel run, loose outdoors, etc
Who will take care of your puppy when going on vacation?
YOUR PUPPY PREFERENCES
What sex of a puppy are you wanting?

FemaleMale
Do you have a color preference?
Would you consider a puppy of another color/sex if your preferences are not available?

YesNo
How soon are you looking to get a puppy?
Do you intend to compete with your dog?

YesNo
If so, what type of competition?
REFERENCES
If you are already established with a veterinarian, please provide name, address and phone number of the vet.

Vet NamePhone Number
Please list 2 references such as veterinarian, person active in dogs, or close acquaintances. Please include a phone number and an email address for each person.

1st Reference (Name & #)2nd Reference (Name & #)
By clicking "Submit" below, I agree to being honest in completing this application & understand that lying will result in the loss of my deposit and puppy from Heartland Frenchies
E-Signature
Should be Empty:

DETAILS ABOUT YOU:

YOUR DOG EXPERIENCE

YOUR PUPPY PREFERENCES

REFERENCES