Cocktail Puppies Adoption Application

Puppy Placement & Emotional Support Task Animal™ Application
Please complete this application thoughtfully. Cocktail Puppies™ intentionally places a limited number of puppies each year to ensure ethical breeding, advanced training, and lifetime support. If you are having trouble submitting the application, please don't hesitate to reach us at adoptions@cocktailpupies.com
Applicant Information
First Name *
Last Name *
E-mail*
example@example.com
Phone Number*
City and State*
We don't need your address just your city and state.
What is are the best days and times to reach you? What is your preferred contact method? Email/Text/Phone/ALL*
Puppy Interest
Which program are you applying for?*

Companion PuppyEmotional Support Animal (ESA- Companionship only)Emotional Support Task Animal™ (ESTA™ – advanced training)
Preferred Puppy Gender?*

MaleFemaleNo Preference
Preferred Weight Range (Adult)?*

Teacup (3-6 pounds)Toy (6 - 10 pounds)No Preference
Timeline to Welcome Your Puppy?*

ASAP1-3 monthsFlexible
Lifestyle and Home Environment
Do you currently have any other pets in the home? If yes, please describe.
If so how, many?
What best describes your living situation?
Own home | rent | condo/townhome
Do you have landlord approval for a dog, if applicable?
If needed
Do you have a fenced in yard? (answer YES or NO).*
Will you be the Primary Caregiver? *
If you need to relocate, how will your puppy fit into that plan?*
Emotional Support and Task Training (ESTA Applicants)

This section helps us determine task suitability and training alignment. If you are seeking a companion animal or an ESA you can skip directly to the Undertstanding Program Investment.
If you are comfortable sharing, what emotional or lifestyle challenges are you seeking support for?
Please list what type of support animal is needed.
Which task-based support are you most interested in?

Interruption of anxiety or panic behaviorsDeep Pressure Therapy (DPT)Emotional Regulation and GroundingRoutine and Structure ReinforcementPublic calmness and confidenceTravel or housing -related emotional support
Newly adopted puppies experience an adjustment period of at least several months are you fully committed to adjusting your life to help your new puppy adjust? *
Have you previously worked with an emotional support or service animal?
Please share the puppy's name from our available puppies
Understanding the Program Investment

Please review the following:
Cocktail Puppies™ offers two placement categories, each with different levels of care, preparation, and post-placement support.

Companion Puppies
- Raised with early socialization and basic manners
- Ideal for loving homes seeking companionship
  Investment reflects ethical breeding, health testing, and careTemperament-matched for emotional attunement
- Enhanced socialization and emotional stability focus
- Higher investment due to screening and behavioral foundations
  
  Emotional Support Task Animals™ (ESTA™)
- Custom temperament selection
- Foundational task training prior to placement
- Extended development time, trainer involvement, and owner education
- Ongoing guidance after placement
- ESTA™ puppies require significantly more time, professional training, and individualized handling before placement.
- This additional investment reflects what is done before your puppy ever comes home — not just the puppy itself.
Please acknowledge the following:*

I understand that ESTA™ pricing is higher due to training, time, and specialized preparation, not breed aloneI understand that deposits are non-refundable once training and placement planning begins.I understand that Cocktail Puppies™ limits ESTATM placements to ensure quality and outcomes.
Investment Readiness

Traditional service animals typically involve years of training and costs well above $45,000, which is why our Emotional Support Task Animal program was thoughtfully designed. Our puppies are intentionally bred investment, ethically raised, and thoughtfully placed. This section helps us align expectations and reccommend the best path forward.
Flexible Payment Options - To support accessibility without compromising quality, no-credit check financing options may be available to qualified applicants, with our standard deposit.*

I'm interested in learning more about the financing options.I plan to pay in fullI am open to discussing the best payment option.
Why Cocktail Puppies?
What drew you to Cocktail Puppies and our Emotional Support Task Animal program?
How did you learn about the Cocktail Puppies? *
Final Acknowledgement
Please acknowledge the following to move forward with the application process.*

I understand that submitting this application does not guarantee placementI acknowledge that Cocktail Puppies places puppies based on best match, not order of application.I agree to respectful communication and understand that this is a high touch program
Submission of this application confirms that the information supplied on this application is true and correct. Please initial here that all your responses are truthful and complete.*
Should be Empty:

Puppy Placement & Emotional Support Task Animal™ Application

Applicant Information

Puppy Interest

Lifestyle and Home Environment

Emotional Support and Task Training (ESTA Applicants)

Understanding the Program Investment

Investment Readiness

Why Cocktail Puppies?

Final Acknowledgement