Puppy Application Form
Customer Details:
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
*
example@example.com
How did you hear about us?
*
Please Select
Newspaper
Website
Kijiji
Facebook
Other
Please Specify
*
What is your occupation:
*
Do you own or rent?
*
Own
Rent
What type of home?
*
Please Select
Townhouse
Apartment
Single Family
Other
If renting are you allowed a dog?
*
Please Select
Yes
No
Do you have a yard?
*
Fenced Yard
Unfenced Yard
No Yard
Tell us about your family, children, ages, pets etc:
*
Is everyone in your family wanting a puppy?
*
Yes
No
Maybe
Is this your first dog?
*
Yes
No
Are you ready to train a puppy?
*
Yes
No
Have you ever had to give up a dog?
*
Yes
No
Reason:
Are you a breeder or wanting to breed?
*
Yes
No
Are you prepared to spay/neuter your puppy?
*
Yes
No
When do you want a puppy?
*
Current litter
Wait list
Are you prepared to invest the time and money necessary to raise a puppy?
*
Yes
No
Are you willing to commit to on-going veterinary care?
*
Yes
No
Will you provide a loving home and keep your puppy healthy and safe?
*
Yes
No
Do you wish to crate train your puppy?
*
Yes
No
Where will your puppy stay during the day?
*
Where will your puppy stay during the night?
*
Will the puppy ever be alone day or night?
*
Yes
No
What is your plan for giving the puppy potty breaks if it will be alone?
*
Do you understand that a puppy needs to be taken out frequently?
*
Yes
No
I certify that the information provided on this application is true and correct. I am also financially and physically able to care for this puppy. I understand that proper food, veterinary care, grooming, and obedience training can be costly and I am able to meet these requirements. By signing below, I acknowledge that I have completely read this questionnaire, answered to the best of my knowledge,and confirm my intention to purchase a Bernedoodle puppy. Putting your full name in this form space below constitutes your electronic signature:
*
Submit
Should be Empty: