Applicant Details
Name
*
First Name
Last Name
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
I / We live in a
*
Single Family Home
Duplex / Twin
Condo / Townhome
Trailer
Apartment
Other
Preferred Gender
*
Male
Female
Undecided/No preference
Preferred Color
*
Tricolor
Sable
Chocolate
Do you need a non-shedding/hypoallergenic dog?
Yes
No
Preferred, but not a necessity
Number of hours (average) pet(s) spends alone
*
I plan on having this dog for:
Service dog work
Therapy dog work
Facility dog
Agility dog
Family dog
Companion for myself
Other
Preferred Personality:
Assertive
Confident
Reserved
Unsure
Help me find the right fit
My lifestyle is best described as:
Very active
Mildly active
Rarely active
Will this be your first dog?
Yes
No
What dogs (breed) have you had in the past, or do you have now?
What did you love most about your last/current dog?
What did you like least about your last/current dog?
What do you want most from your new puppy?
Do you like to train your dogs, or feel you are good at it?
What concerns/obstacles do you have in bringing home a puppy?
Do you have other pets? If yes, please describe below.
Do you have children? If yes, please describe below.
Please tell me anything else about what you are looking for and wanting from your new dog:
Submit
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