Puppy Application

Puppy Application

Thank you for applying for one of our babies! All families will be contacted with more details, once the application has been approved. If you have any questions feel free to contact us at 954-232-4176 Text/call or email shirley@danshisbullies.com
Date*

MonthDayYear
Prefix*
First*
Last*
Suffix
Street Address*
Address Line 2
City*
State / Province / Region*
Postal / Zip Code*
Country / Region*
Primary Phone*
Secondary Phone
Email*
Confirm*
Breed of Interest*
Gender of interest*
Which describes you best, check all that apply*

First Time Puppy OwnerI'm a breederAlready a dog ownerLooking for a companion pet only- AKC Limited RegistrationLooking to breed/show your dog - AKC Full RegistrationBroker/ Puppy Store - if so STOP here, we do not sell to brokers, mills or storesLooking for a puppyLooking for an adult dogOther
What are you looking for in a puppy/dog?*

ActiveCalmShow QualitySizeColorTemperamentOther
What age range are you looking for?*
Type age preference
Do you plan to breed your dog?*
Will your puppy be desexed (Spayed/Neutered)?*
Is there a specific color you're looking for?*
How soon are you looking in adding your newest family member?*
Do you have permission to own and or have a dog live with you at this residence?*
Will your puppy sleep & live inside your home & socialized with your family?*
Do you plan on reselling this puppy/dog? ie: broker, puppy store, friend*
Do you have a veterinarian?*
Did you research the breed & understand the Health, Care & Recommendations for the breed?*
Do you intend to enroll your puppy with pet insurance?*
Do you plan to take your puppy/dog training school?*
Are you aware of the costs & maintenance associated with this breed?*
Do you want to pay your reservation fee for a puppy now, to reserve your place for the next available puppy?*
Do you or anyone in your immediate family suffer from allergies to dogs?*
Do any of your children have a fear of dogs?*
How long will your puppy/dog be left alone during the day?
Do you have any health conditions/disability that may limit your ability to exercise your puppy/dog for up to 1 hour per day?*
Tell us anything you feel may be important about yourself and your family?*
How did you hear about us?*
Any questions or comments?
Applicant represents and affirms, under penalty of perjury that the representations contained in this APPLICATION are complete, true, and correct.*
Please type your full & complete name
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