Dog Adoption App

Full Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Area CodePhone Number

E-mail*

Do you own your own home?*

YesNo

If no, have you made arrangements with your landlord?

How did you hear about Ruby Valley Farm?*

Do you have a fenced yard?*

YesNo

If yes, which type of fence?*

WoodChain LinkSplit RailN/A

If yes, how tall is your fence?:*

Which dog(s) are you interested in?*

How old are you?*

Have you ever raised a puppy before? If so what breed or breeds?*

Have you ever raised an Irish Setter before? If not are you familiar with this breed?*

Do you have a set time period for purchasing your puppy?*

Do you have children in your home? If so what are their ages?*

Do you have any other dogs or pets? Please describe.*

Irish Setters love to be with you most of the time, is this possible?*

If your dog is unable to accompany you, what accommodations will you make for him/her?*

Do you plan on keeping your dog inside or outside? How much of the time?*

Our health guarantee requires your puppy be placed on a special diet, is this a problem?*

Do you have a safe place to keep your dog while you are away?*

Are you prepared to groom your dog regularly?*

Describe your "dream" or perfect Irish Setter. MF, size, temperament, activity level and any other traits *

Your puppy will need to be socialized with other people and animals. Will this be a problem?*

How do you plan to exercise your dog?*

Are you looking for a quality companion or are you seeking a breeding/show prospects?*

We require that all companion dogs be spay or neutered. Is this a problem? *

List any Agility, Obedience, Conformation, Therapy etc. you may be interested in for your puppy.*

If for any reason you are unable to care for your dog, do you agree to give us the first right of refusal? *

What is the best time to call?*

MorningAfternoonevening

Which puppy pick up option is best for you?*

I wish to pick up my puppy in Russellville, AlabamaI wish to use your Flight Nanny or ground tranportationI wish to fly with my puppy - discuss before booking flights

Upon acceptance of this application a $500 deposit is required to reserve a puppy. Are you aware that the deposit is non-refundable?**

YESNO

I am serious and committed to a Ruby Valley Farm Puppy and ready to place my $500 deposit. Lets schedule and Interview!*

YESNO

Very Important!! PLEASE READ:

Due to the recent interest in our puppies and the large volume of applications we are recieving, we are only able to return phone calls to those who have indicated their commitment to a Ruby Valley Farm Puppy and are ready to place a deposit. While we value and want to visit with each of you, this is simply not possible in this busy time! We appreciate your understanding and patience!

If you still have questions on pricing, shipping information, etc. Please visit our FAQ page

Is there anything you would like to add?

Puppy Application