Puppy Application Form

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Full Name* This field is required.

First Name

Last Name

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E-mail* This field is required.

example@example.com

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Address* This field is required.

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

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Phone Number * This field is required.

Area Code

Phone Number

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Alt. Phone Number

Area Code

Phone Number

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Who in your household will be the primary caregiver for the puppy?* This field is required.

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Please let us know if there are any children and/or pets in your household. If so, please let us know ages for each child and type/age of pet(s).* This field is required.

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Does Anyone in your Household have Allergies to Animals?* This field is required.

Yes

No

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Do you live in a:* This field is required.

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Do you:* This field is required.

Own

Rent

Live with Parents

Other

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If Renting: Have you checked your rental agreements about pets?* This field is required.

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Have you ever raised a puppy? (Please do not include your parents raising a puppy when you were growing up)* This field is required.

Yes

No

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Have you ever surrendered a dog to a shelter, rescue or taken one back to a breeder?* This field is required.

Yes

No

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If yes, please explain* This field is required.

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What is your main reason for getting a Topknot Yorkie?* This field is required.

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If you checked anything other than "A pet and companion" in the question above, please elaborate on your needs.* This field is required.

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When are you seeking to have a puppy join your family?* This field is required.

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What is your preferred gender?* This field is required.

Male

Female

No Preference

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Are you interesting in becoming a Guardian home for a puppy or adult dog? (Must live on Vancouver Island)* This field is required.

Yes

No

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Do you work away from home? Will the puppy be left for long periods of time?* This field is required.

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Are you planning to crate/pen train your puppy* This field is required.

Yes

No

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Where will the puppy spend most of its time?* This field is required.

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The puppies are available to go home on the date specified (10-12 weeks). Will you be able to take this puppy home on or within 2-3 days of this date?* This field is required.

Yes

No

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Are you able to pick up your puppy in Comox, BC?* This field is required.

Yes

No

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If no, are you requiring the help of a flight nanny? (We have access to a flight nanny at the cost to the applicant)* This field is required.

Yes

No

Not applicable

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Do you agree to give us updates and photos of your new puppy? Do you agree to give us permission to utilize your photos on our Facebook and Website?* This field is required.

Yes

No

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Do you agree to contact us if you need to re-home your puppy?* This field is required.

Yes

No

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You have the option of joining our waitlist at no fee (this does not guarantee you a puppy or put you in line for future litters) or potential to join our reservation list for a non-refundable fee of $500 (guarantees you a puppy over the course of 2-3 litters). Which list are you interested in?* This field is required.

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I understand that my Reservation Fee gives me a place on the reservation list in order of acceptance. I also understand that the breeder, however, has the right to select breeder choice puppy or puppies from any litter.* This field is required.

Yes

No

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I understand that the availability of gender and color may be limited and therefore I will either need to make a decision on what is available or I will need to wait until a future litter and allow Topknot Yorkies to move to the next person in line.* This field is required.

Yes

No

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Our prices range for our Yorkies between $3000.00 - $5000.00 and is not negotiable. Please do not complete this application if you are not in agreement with the cost. If you have any questions, please contact us directly.* This field is required.

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Completing this application is a step in the process to acquiring a puppy from Topknot Yorkies, but it does not guarantee a puppy from this or any future litter. While it's unlikely, the breeder reserves the right to refuse any placement at any time.

Application Process: Applications will be reviewed within 2 business days of receipt. Applications are processed in the order they are received. If your application is a good fit, you will be notified.

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Date* This field is required.

Date

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Your name* This field is required.

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Signature* This field is required.

Clear

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How did you hear about Topknot Yorkies?