Puppy Application

The information contained in this application is used only for the purpose of placing a puppy and will not be used elsewhere.

Full Name*

First NameLast Name

Profession*

E-mail*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number*

Area CodePhone Number

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

Do you live in a:*

Household Setting*

RuralSuburbanUrban

Do you have children at home?*

YesNo

Does Anyone in your household have allergies to animals?*

YesNo

If yes, please indicate type, severity and if medication is required to manage.

Have you owned a dog before?*

YesNo

Do you have any pets now?*

YesNo

What Gender are you looking for?*

MaleFemaleNo Preference

What size dog are you looking for?*

Medium: 30 to 55 lbs.Large (standard): 55 lbs. and up

Do you have a veterinarian you plan to use?*

YesNo

Do you have a fenced yard?*

YesNoPartial

Will the puppy live indoors?*

YesNo

Do you work outside of the home?*

YesNo

How many hours in a day would the puppy be left alone?

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

YesNo

Will you be attending obedience classes with your puppy?*

YesNo

Do you agree to spay/neuter your puppy?*

YesNo

Do you agree to contact Reese's Doodles in the event you cannot keep your puppy?*

YesNo

Please indicate anything else that may help us with selecting the right puppy for you.

How did you hear about Reese's Doodles?*

If other, please explain

By sending this electronically, I acknowledge that I have completely read this questionnaire and comprehend it fully as well as that all the information provided is true and correct.

Date*

MonthDayYear

Your name*

E-mail*

Thank you for choosing your puppy from Reese's Doodles!