River Valley Bulldogs

Puppy Application

The information obtained in this application is used only for the purpose of placing a puppy and will not be used elsewhere. A $500 deposit to hold your puppy will be collected after your application is approved, and will be deducted off the total price of the puppy.
Deposit type*

Bank TransferZelleVenmoOther
Full Name*

First NameLast Name
Profession*
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number - Home*

Area CodePhone Number
Phone Number - Cellular

Area CodePhone Number
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
Have you owned a bulldog before?*

YesNo
What Gender are you looking for?*

MaleFemaleNo Preference
Do you have a veterinarian you plan to use?*

YesNo
Do you have any other animals?*

YesNo
Spayed / Neutered

YesNo
Type of pets and ages
Do you agree to accept nutritional and dietary recommendations from the breeder?*

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 the puppy be picked up?*

YesNo
Do you agree to contact us in the event you cannot keep your puppy?*

YesNo
Please indicate anything else that may help us with selecting the right puppy for you.
By sending this electronically, I acknowledge that I have completely read this questionnaire and comprehend it fully.

I understand that applying does not ensure approval
Date*

MonthDayYear
Your name*
E-mail*
Thank you for choosing your puppy from River Valley Bulldogs!
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Puppy Application