Puppy Application Form

Puppy Application

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

First NameLast Name
Profession*
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number - Cell*

Area CodePhone Number
Lifestyle:
With these questions, we will be able to help make the perfect puppy match.
Do you live in a:*
Do you have children at home?*

YesNo
Does Anyone in your household have allergies to animals?*

YesNo
Have you owned a dog before?*

YesNo
Do you have any pets now?*

YesNo
What Gender are you looking for?*

MaleFemaleNo Preference
Spay/Neuter Policy: All of our puppies are sold as a "pet only" and require a signed spay/neuter contract, unless FULL REGISTRATION (ie: breeding rights) is purchased as a part of the adoption contract*

I understand and agree to the spay/neuter policyI am/may be interested in FULL REGISTRATION/breeding rights
Do you have a fenced yard?*

YesNoPartial
Do you work outside of the home?*

YesNo
How many hours in a day would the puppy be left alone?
On average a puppy shouldn’t be alone more than 5 to 6 hrs. a day.
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 contact Danielle Wolosek in the event you cannot keep your puppy?*

YesNo
.About Us: In addition to the above information, please feel free to tell us a little more about you/your family, lifestyle, and why you have decided to adopt a puppy at this time. The more information you can share here, the more time we will have to discuss the fun stuff during our phone interview. :)
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*
Deposit: Puppies are reserved with a $500 NON-REFUNDABLE deposit. Puppy picks will be done between 5-7 weeks and will go by the order we have received the deposits. We accept deposits via Venmo, Check or Credit Card. Credit Cards will be charged a 3.5% service fee.

I understand that my deposit is non-refundable.
IMPORTANT: Before choosing "SUBMIT" we suggest you print off this page for your records.*

Right click, print (there is no option to add a print button, unfortunately)
Should be Empty: