Peace Country Yorkies Application Form

Name*

First NameLast Name

Address

Street Address

Street Address Line 2

CityProvince

Postal Code

Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Email*

example@example.com

MaleFemaleNo preference

TraditionalMerleEither or

Puppy you are interested in (leave this blank if you don't have a specific in mind)

What made you choose the Yorkie breed?*

Pet onlyBreeder

Describe what type of temperament you would like in a Yorkie (calm, mid energy, high energy, service, etc.)*

Please tell us a little about your family (Kids, adults, any othe pets, past dogs, hobbies, etc.)*

Do you have a fenced yard or other way to keep your dog safely contained? Please tell us a little about your home (Rented or owned).*

When was the last time that you raised a puppy?*

Where do you plan to keep this dog at night, and/or when you're not at home?*

Please provide us with some references*

How did you find us?

I understand that there is no guarantee of gender produced, but I retain the option to pass and wait for the next available puppy of my preferred gender. (Type YES to agree)*

Peace Country Yorkies will always welcome back any of our puppies. If for any reason you are no longer able to care for your puppy/dog, you agree to bring him/her back to us. (type YES to agree)

Thank you for taking the time to fill out our Puppy Application! If you have any questions, or any other information you would like us to know, you can type it here.