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 $200 non-refundable deposit to hold your puppy will be collected after your application is approved, and will be deducted off the total price of the puppy. We have contracts for both transactions.
Deposit type

Good dog Paypal other
Full Name *

First Name Last Name
Profession *
E-mail *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number - Home *

Area Code Phone Number
Phone Number - Cellular

Area Code Phone Number
Lifestyle: With these questions, we will be able to match the puppy better with its new home.
Do you live in a: *
Household Setting *

Rural Suburban Urban
Do you have children at home? *

Yes No
Does Anyone in your household have allergies to animals? *

Yes No
If yes, please indicate type, severity and if medication is required to manage.
Have you owned a dog before? *

Yes No
Do you have any pets now? *

Yes No
What Gender are you looking for? *

Male Female No Preference
Breed of Puppy

We offer Australian Shepherds and Aussiedoodles
Are you looking for an Australian Shepherd or Aussiedoodle?

Australian Shepherd F1 Aussiedoodle F1b Aussiedoodle
What size dog are you looking for? *

Medium 30 to 40 pds Large 40-55 pds
Do you have a veterinarian you plan to use? *

Yes No
Do you have a fenced yard? *

Yes No Partial
For the safety of your puppy, when not in an enclosed fence area, please keep your puppy on a leash at all times.
Will the puppy live indoors? *

Yes No
Do you work outside of the home? *

Yes No
How many hours in a day would the puppy be left alone?
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: *

Yes No
Will you be attending obedience classes with your puppy? *

Yes No
Will the puppy be picked up? *

Yes No
Do you need arrangements made for pickup of your puppy?
Would you like to have the puppy delivered? *

Yes No
Do you agree to contact Dunroamin Farms in the event you cannot keep your puppy? *

Yes No
Please indicate anything else that may help us with selecting the right puppy for you.
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
Date *

Month Day Year
Your name *
E-mail *
Name

First Name Last Name
Should be Empty:

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Puppy Application

Breed of Puppy