MountainAyres Australian Cobberdog Puppy Application

Name

First NameLast Name

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Cell Phone

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

Is it ok to send text messages with puppy picture updates to this cell phone?

Do you prefer a male or female?

Please list all people living in your home including relationship, gender and age. If anyone has a disability or special need, please indicate that as well. Also have they had any interaction with dogs?

How many are living in your home?

Ages of children? (N/A if not applicable)

Describe your household activity level

Does anyone in your household have allergies to dogs? {only dog allergies apply to this question)

Please list all pets you currently own including species, breed, age, spayed/neutered/unaltered. How does your current pet (pets) interact with other dogs?

What is your level of experience with dogs?

Have you ever owned a dog before? If so, please list breed and reason you no longer have: (Ex: rehomed, old age, cancer, parvo, death due to injury, euthanasial and why etc.)

Have you ever relinquished a dog to a shelter, rescue or rehomed? If so explain.

Describe Your Home

Does your home have a fenced yard? If not, how do you intend to keep your puppy contained and safe?

Does your home have a fenced yard?

Once a puppy is reserved in your name, if you decide you are no longer interested you forego your deposit. Do you understand your deposit is Non-refundable?

While these dogs are low to non-shedding, they do require regular brushing and grooming to keep their coats free from matting? Are you willing to do what is necessary to keep their coat in good condition by grooming them yourself or having them professionally groomed?

How will your puppy be housed?

Will you do puppy training?

Will someone be at home with your new puppy? If no, what arrangements will you make for your new puppy?

Other

When traveling, what arrangements will you make for your dog if you do not take it along with you?

Raising a puppy is a labor of love, but a lot of work and commitment. Are you able to make a life-long commitment to a puppy to include vet expenses ? If so , please explain below.

Please explain how you are able to make a life-long commitment to a puppy to include vet expenses.

Raising a puppy is a labor of love, but a lot of work and commitment. Are you able to make a life-long commitment to a puppy? If so, please explain.

Other

Do you have a Veterinarian?

Veterinarian Contact Info

Are you aware puppies have sharp teeth? This is especially important when introducing a puppy to young children.

I understand that this application is for a puppy with limited registration meaning not for breeding.

Please provide the name and phone number of a reference we may contact.

Other comments

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