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.
Full Name*

First NameLast Name
Profession*
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number *

Area CodePhone Number
Lifestyle:
With these questions, we will be able to match the puppy better with its new home.
Do you live in a:*
Household Setting*

RuralSuburbanUrban
Do you have children at home?*

YesNo
Have you owned a dog before?*

YesNo
Do you have any pets now?*

YesNo
What Gender are you looking for?*

MaleFemaleNo Preference
Will the puppy live indoors?*

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 pup be a working gundog? Pups will be driven but some will be suitable for active pet homes too.

YesNoOther type of work. Eg agility, search and rescue etc
Please indicate anything else that may help us with selecting the right puppy for you.
Are you on Instagram? If so let us know your handle and we will give you a follow!
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*
Should be Empty: