Puppy Application

Puppy Application
Buyer's Contact Information
Buyer's Name*

First NameLast Name
Co-Buyer's Name

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
References

Please enter your veterinarian's contact information and contact info for one personal reference. Note: If your veterinarian is current, I will use them for a reference. However, if you are a new client, I will only call your Personal Reference.
Veterinarian's Name*
Veterinarian's Phone Number*
Please enter a valid phone number.
Have you been a client with this veterinarian within the last year?*

YesNo
Reference's Name*
Phone Number*
Please enter a valid phone number.
Tell us About Yourself
How did you hear about Bluemoon Corgis?*
Tell me about your family and other pets you have in your home.*
Tell us why you are looking for a corgi?*
Do you rent or own your own home? *
If you rent, do you have your landlord's permission to have a dog? *
Do you have a fenced in yard? If not, what are your plans for ensuring your corgi gets enough exercise and outside time.*
Like all puppies, corgis need training from day 1 to prevent bad behaviors from starting and to become an integral part of your family. How will you provide training for your puppy?*
Do you agree to provide your puppy with all essential vaccinations throughout the course of his/her life? This includes rabies, distemper, parvovirus, kennel cough, and others depending on your veterinarian’s suggestion. If not, please provide your reasoning.*
What are your care plans for your puppy during the day and when you are not home?*
Corgi Preference
Are you looking for a male or a female corgi?*

FemaleMaleEither
Do you have a color and coat preference? If so, describe what you are looking for.*
Please provide any other relevant information you feel would assist us in placing a puppy in your home. For example, the type of work you hope to do with your puppy (e.g. Canine Good Citizen, agility, etc.) or special requests/needs.
Ownership Commitment
This litter will be available to go home on the date specified on the website. Will you be able to take this puppy home on or within 2-3 days of this date?*
Corgis require love and attention. Are you committed to unconditionally giving these things for an undetermined number of years?*
Do you agree to contact us in the case that you need to re-home this puppy for whatever reason?*
Do you agree to give us follow-up reports and photos from time to time?
Did you review or read the Bluemoon Puppy Contract? The contract is available on our website.*

YesNo
Your Signature*

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Puppy Application

Buyer's Contact Information

References

Tell us About Yourself

Corgi Preference

Ownership Commitment