Puppy Application

Yorkie Puppy Application
This questionnaire is prepared for your benefit, the prospective owner, and the Yorkshire Terrier that you plan to have become a part of your family. This information will assist us in placing our puppies in permanent homes where they will receive the love, care and attention they deserve and require in order to live happy, healthy lives. We care deeply about each puppy we bring into this world, and thank you for your cooperation in providing this information.
Name*

First NameLast Name
Partner/Co-Applicant

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Partner/Co-Applicant Phone Number
Please enter a valid phone number.
Email*
example@example.com
Preferred method of contact*

PhoneTextEmailAny of the above methods
When are you wishing to purchase your new family member?

Immediately (Please note we maintain a waiting list and next puppies are planned for the spring of 2023).Within the next 6 monthsWithin the next 12 months
1. Please indicate your reason(s) for adopting a dog:*

Family PetAdult CompanionCompanion for another petChild's PetOther
2. Number of adult Family Members living with you?*
3. Number of children & Ages currently living with you?
4. What is your current living situation?*

Own HouseRent Apt/DuplexParent's HomeRent HouseRent Condo/TownhouseOther
If renting, we must verify with your property owner/management that you may have a dog. Please list their name and phone number below:
5. Who will be the primary care giver for the dog?*
6. Where will the puppy be kept during the night?*

InsideOutsideBothCrateConfined to an area of the houseOther
7. Where will the puppy be kept during the day?*

InsideOutsideBothCrateConfined to an area in houseOther
8. Do you have a fenced in yard?*

YesNoPartially
If no fenced yard, how will the dog exercise?
9. Is anyone home during the day*

YesNo
10. How many hours will the puppy be alone per day?*

0-23-44-55-67-88+
If the puppy will be alone for 4 or more hours during the day, what provisions will you make to care for this puppy in your absence? (For example, in a crate, in a gated kitchen, in a pen in the basement, hire a petsitter, neighbor or family member to come over and let the puppy outside, take the dog/puppy to doggie daycare, outdoor kennel/run with dog house).
11. Have you ever owned a dog before?*

YesNo
If so what breeds have you owned?
12. Have you ever taken a pet to the pound/shelter?*

YesNo
If so, what where the circumstances?
13. Do you have other pets*

YesNo
If yes, what kinds?
14. Are you interested in a male or female puppy*

MaleFemaleNo Preference
15. How did you hear about us?*

FacebookWebsiteGoogle/Internet SearchGood Dog WebsiteFriend/Reference ReferralOther
If someone referred you please kindly give their name so we can thank them.
16. Current or Past Veterinarian Please type Name and Phone # below (Please make sure to give them permission for us to contact them for a reference) We use Quail Pointe Veterinary Hospital located in Clinton, UT 801-825-9191*
17. Have you ever house trained a dog before*

YesNo
18. Have you ever crate trained a dog before*

YesNo
19. Have you done any research on the Yorkshire Terrier Breed?*

YesNo
20. Have you ever returned a dog?*

YesNo
If yes please explain the circumstances.
21. What are your expectations for a yorkie puppy?*

SizeColorPersonalityTemperamentOther
22. Which phrase best describes what you are looking for in a dog?*

Low energy, Lap DogPlayful, High energy, ActiveQuiet, Mellow, Calm, DocileA dog that is small portable and can be taken many placesOther
23. Does everyone in the home agree with having an new pet*

YesNo
24. Do you understand that all our yorkies are sold as pets on a spay/neuter contract, and you agree to have your puppy spayed/neutered prior to 1 year of age?*

YesNo
25. Why are you interested in owning a yorkie?*
26. Are you familiar with hypoglycemia?*

YesNo
27. Are you familiar with the health issues yorkies are prone to?*

YesNo
28. Are you prepared to care for a puppy?*

YesNo
29. Are you committed to providing this dog with necessary medical care, and obedience training to ensure his/her well being in your home for it's lifetime (yorkies live 14-18 years on average)?*

YesNo
30. Are you capable to pay for vet exams, vaccinations, medical treatments and emergency vet visits?*

YesNo
31. Do you understand that you are making a lifetime commitment to care for a puppy for at least possibly 14-15 years?*

YesNo
32. Are you aware of the lifestyle changes associated with a new puppy? (Please think about how much time, effort, and patience it takes to properly care for a dog. Many families have demanding and hectic schedules. It takes 6 to 9 months to socialize and teach pups. Dogs require exercise and company on a daily basis. Yorkies are known for chewing shoes, destroying TV remotes, digging holes in flower beds, and jumping up on visitors. To provide regular grooming, clear muddy paw prints, clean up the yard, and clean up everything your dog gets into, more effort is necessary.)*
33. Do you have questions regarding our Puppy Contract? (A thorough health guarantee and a return clause are included in the sales agreement. Companion dogs are offered with a spay/neuter agreement, and puppies MUST be spayed/neutered by age 1 year old). *
34. Puppy Selection Policy: Do you have any questions or concerns with our Puppy Selection Process or how it works?*
36. What food will this puppy be eating? (We feed & STRONGLY recommend Life's Abundance Small & Medium Breed Puppy & Offer an extended Health Guarantee if you are willing to feed this food). Please note feeding a food with Corn, Wheat, By Products or a Grain Free Diet will VOID our health guarantee). *
37. How will you be picking up your puppy?*

Drive to pick upDelivered to me (must live within 3 hours) $100/hour each wayShipped to me via CargoI will fly in to SLC, UT Airport and Meet you to pick up my puppy
38. What kind of personality are you looking for in your new puppy? (Select any and all that apply).*

Laid Back & MellowBold & ConfidentRambunctious & PlayfulSocial & OutgoingQuiet and CalmNo Preference
39. Describe your ideal puppy*
Describe your ideal dog, with specific information about personality traits, energy levels, drive, confidence, independence, appearance, etc....
40-. I would struggle with a puppy who.....*
This information is used to match puppies to their ideal homes, so please give complete and detailed answers.
41. Describe the emotional connection you would like to have with your puppy*
42. Under what circumstances would you give up your Yorkie Puppy? (select all that apply)*

Bites/AggressiveDestructive when left aloneAggressive with other pets/childrenMoving to "no pets allowed" housingMoving to out of stateMedical Expenses/Animal is illNoisy/Barks too much
I would like to enroll my puppy in the Puppy Head Start Program. This program is highly effective and very successful. It's specifically designed for young Yorkies puppies. This is a 2-4-week course and begins once the puppy turns 8 weeks of age. Your puppy learns to proficiently obey the following commands of SIT, DOWN, STAY, COME, and will walk respectfully on a leash at your side. House training basics are also established. The cost of training is $800-$1200 Training enrollment is limited.*

2 Week Basic Option $8004 Week Advanced Option $1200I would like more information on this programI will train my puppy myself
The following two questions are intended to assist us in connecting puppies with homes. We do a fantastic job of matching pups to homes and have a high success rate, but we have no control over what is born.Which of the following pups would you select if there were only two puppies in a litter? 1. The puppy who was more energetic, self-assured, and outgoing. This puppy might be the best obedience dog or working dog with appropriate training, and as an adult, could possibly be trained to be a fantastic therapy dog. This puppy, though, may be a handful if not properly trained. This puppy isn't very energetic, so he or she might be raised to be a quiet, well-behaved adult with a decent "off-switch." He or she would require greater physical activity than the other. 2. The puppy with the least amount of energy, confidence, and submissiveness. This dog would rather be at home with his family. He or she is not so timid that, if taken out frequently as a child and desensitized to the things that scare him or her, he or she may be raised to be a confident adult.Almost all pups are afraid of new things, but some require more time to adjust than others. Also, while virtually all pups are energetic and enjoy playing, some require more practice to establish self-control than others.*

I would prefer the more confident active puppyI would prefer the calmer, less confident puppyI would prefer a calm & confident puppy but calmness is more important to me than confidenceI would prefer a calm & confident puppy but confidence is more important to me than calmness.
Which of the following pups would you select if there were only two puppies in a litter? 1. The puppy who was the most self-reliant. Every puppy we've ever bred has a soft spot for people, but the more independent ones are happier being alone, are less needy, are typically simpler to crate-train, and are less eager to come to you when you call when there's something more important to accomplish. 2. The more "velcro" a puppy is, the more it wants to be with you at all times and will follow you from room to room. When left alone in a crate as a puppy and until trained, this dog may cry. He'd want to be with someone who was looking for a constant companion. Furthermore, these more reliant velcro pups are the simplest to teach since they are more anxious to please you.*

I would prefer the more independent puppyI would prefer the velcro puppyType option 3Type option 4
43. Do you have any questions or other information you feel is pertinent to share with us?
Please include info such as elderly or extremely young residents or visitors in the home, medical equipment a puppy will be around regularly, potential hazards on the property, unique environments or living arrangements, etc..
Please provide names, addresses and phone numbers of at least 3 different people who could verify your qualifications and lifestyle--such as the breeders of your present dogs, dog trainers, training partners, friends, and neighbors. We strongly prefer email contact so please try to get correct email addresses. Missing email addresses will delay processing of your application. If you have pets, your last reference must be your veterinarian. Please list their relationship to you.
We hereby state the above information is true. We also understand that our vet and references may be contacted for the placement of this animal and we give permission to do so and will inform our vet that they may be contacted. We understand that this animal is for adoption and we understand that it may take 24-48 hours to hear of the status of the application.
Please verify that you are human*
Signature

Clear
Should be Empty:

Now create your own Jotform - It's free!Create your own Jotform

Yorkie Puppy Application