Puppy/Dog Application Form
Thank you for your interest in one of our puppies. Our goal is to place each puppy in a home where they will thrive for life. This form helps us get to know you better and ensure a good match. Please answer honestly — there are no wrong answers!
Basic Information
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred Contact Method
Please Select
Email
Phone
Text
Household Information
Who lives in your home? (Adults & Children with ages)
Do you own other animals?
Please Select
Yes
No
What other animals do you own? (List both pets and livestock)
Do you Rent or Own your home?
Rent
Own
Does your landlord allow dogs?
Please Select
Yes
Yes, but there are breed restrictions
No
Do you have a fully fenced yard?
Please Select
Yes
No
Describe the type and height of fencing.
Experience with Dogs
Have you owned a dog before?
Please Select
Yes
No
What breeds have you previously owned or do you currently own?
What happened to your last dog?
Still have them
Passed away
Rehomed
Other
What age did your last dog pass away?
Why was your last dog rehomed?
About the Dog You Want
Are you interested in:
Puppy
Young Adult
Older Adult
Is there a specific litter/dog that you are interested in?
Please Select
Yes
No
Which litter/dog are you interested in?
Preferred Gender:
Please Select
Male
Female
What traits are you looking for in a dog?
What activities are you wanting to do with your dog?
Family Companion
Performance Sports
Protection Sports
Herding
Obedience
Service/Therapy Work
Scent/Detection Work
Other
What specific sports are you interested in?
Do you have previous experience in this activity? Please explain.
Do you train with a club/trainer?
Please Select
Yes
No
Not yet, but I plan to
What club/trainer do you or do you want to train with?
Home Life & Expectations
How many hours a day will the dog be left home alone?
Where will the dog stay when you are not home?
Where will the dog sleep at night?
How do you plan to train your dog?
Self
Professional Trainer
Group Classes
Other
What behaviors would cause you to return or rehome a dog?
Veterinary Care
Do you currently have a veterinarian?
Please Select
Yes
No
What is your veterinarian's name or clinic name?
Are you willing to provide regular veterinary care, including recommended vaccinations and parasite control?
Please Select
Yes
No
Breeding Interest
Are you interested in breeding this dog in the future?
Please Select
Yes, I am an experienced breeder
Yes, but I am new to breeding
No
If breeding, please describe your goals and experience:
Final Details
How soon are you looking to add a dog to your home?
Are you willing to travel to pick up?
Please Select
Yes
No
How did you hear about us?
Referral
Website
Facebook
Other
Who can we thank for your referral?
Submit
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