GoldStar Puppies Adoption Application

Full name*

Address*

Phone*

Email address*

example@example.com

How did you hear about us? (e.g. AKC Marketplace, Lancaster Puppies, Social Media)*

Please explain briefly why you would like to add a puppy to your family*

How many people are living in your home?*

What type of home do you live in? (single family, town home, apartment, farm, etc.?)*

If you rent, have you confirmed with your landlord that you are able to house a dog?

Do you have time to provide adequate love and attention?*

Do you have a fenced in backyard or any type of outdoor space for the dog?*

What are your daily plans for exercise?*

Do you have other pets? (specify type and number if applicable)*

Are these pets up to date on vaccines?

If there is a specific puppy you are interested in from our website, please provide their name below

Desired breed

Desired sex

Desired energy level/personality

Who will have primary responsibility for this dog's daily care?*

Who will have financial responsibility for this dog?*

Are you planning to use PawTree dog food as your dog's primary nutrition? If not, what alternative brand would you plan to use?*

Do you agree to provide regular health care by a licensed veterinarian? *

Are you prepared to take your puppy to a licensed veterinarian within the first 10 days of pickup?*

Do you plan on picking up your puppy?

We do provide transportation for an additional cost if you are out of the area, would you be interested in this service?

When would you want to bring your puppy home?

By writing my initials below, I confirm that all of the information I have given is true and complete. This dog will reside in my home as a pet. I will provide it with quality dog food, plenty of fresh water, indoor shelter, affection, annual physical examination and vaccinations under the supervision of a licensed Veterinarian.

Initials Here:*

Family/Housing

About the Dog You Wish to Adopt

Picking up/Receiving your puppy