Puppy Application 4/2018

Contact Information
Full Name*
E-mail*
example@example.com
Address*

Street Address

Street Address Line 2

CityProvince / State

Postal / Zip CodeCountry
Phone Number*
Cell Phone Number
Best Time to Contact:*
Your Family and Home
How many adults in your home?
Are there children in your home? Ages?
Does anyone in the home have allergies to dogs?*
Do you have other pets? If yes, please tell us about them. Include species, breed, gender, age, etc.:
Type of housing*
Own or Rent:*
If other, please explain:
Do you have a fenced yard?*
How high is the fence?
Your New Companion
Have you ever met or owned a Vizsla before?*
Is this your first dog?*
Is this your first time raising a puppy?*
Where will the puppy spend most of its time? Indoors? Outdoors? Both?*
Puppy ClassesI/We plan to train ourselvesProfessional Trainer
Are you planning to crate train your puppy?*
How many hours will the puppy usually be left alone each day?*
Have you ever surrendered a dog to a shelter or rescue? Or given one back to a breeder
YesNo
Dog Show ConformationFieldPersonal HuntingPerformance (agility, obedience. tracking)BreedingOther
MaleFemaleNo Preference
Anything Else
Please provide any other relevant information you feel would assist us in placing a puppy in your home:
Please verify that you are human*
Should be Empty:

Contact Information