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 deposit to hold your puppy will be collected after a pregnancy has been confirmed and your application is approved, and will be deducted off the total price of the puppy.
Deposit type

CheckE-transfer
Full Name*

First NameLast Name
Profession*
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number - Cellular

Area CodePhone Number
Lifestyle:With these questions, we will be able to match the puppy better with its new home.
Housing

I own my homeI rent my home
Do you have a fenced yard?*

YesNo
Do you have children at home?*

YesNo
Have you owned a dog before?*

YesNo
Do you have any pets now?*

YesNo
What sex are you looking for?*

MaleFemaleNo Preference
Color preference if any

Orange/WhiteLemon/WhiteLiver/WhiteBlack/White
Do you have a veterinarian you plan to use?*

YesNo
Do you understand the time and energy it takes to care for a puppy:*

YesNo
Do you agree to contact En Pointe Kennels in the event you cannot keep your puppy?*

YesNo
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*

MonthDayYear
Your name*
E-mail*
The $ 200 deposit will be returned if your puppy requirements can’t be filled. Thank you for choosing your puppy from En Pointe Kennels.
Should be Empty: