Dutton Puppy Application

Full Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

What are the ages of the family members who live in your house?*

What current pets do you have? Please put species, breed, gender, age, and whether they are spayed/neutered.*

Have you ever owned a the breed you are applying for before? If so, where is that dog now?*

What dog experience do you have?*

What are your goals with a the breed your are applying for? Such as competition(what venue/sport?), companion/pet only, breeding...*

How do you plan on fulfilling his/her mental and physical exercise needs?*

Do you have a fenced or unfenced yard? If you have a yard, how large is it?*

Will this be primarily an inside or outside dog? Where will the dog stay during the day and sleep at night?*

How long will the dog be left alone on a daily basis?*

What is your vet’s name and phone number?*

Do you consent to a verbal authorization of vaccine history and number of pets?*

YesNo

What color(s) are you interested in?*

YellowChocolateBlack

What gender are you interested in?*

MaleFemale

Do you understand that I require you to crate train your puppy?*

I understand and agreeI do not agree

Do you understand that I require you to return your puppy if you ever need to re-home him/her? He/she must never be sold or given to anyone else unless authorized by the breeder (Gretchen Dutton).*

I understand and agreeI do not agree