Velaris Puppy Application Form

Velaris Puppy Application Form
Personal Information
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Have you ever owned a herding dog before?*

YesNo
What breed(s) and how many years?*
Do you have any dogs currently?*

YesNo
Have you ever returned a puppy to it's breeder?*

YesNo
If yes please explain
Which breed are you interested in?
How did you learn about the breed? Have you met the breed in person? If so please explain when and where.*
If you have never met the breed before, what research have you done on the breed?*
Do you have a sex preference? Would you consider a puppy of another sex if one was available and was matched to you?*
In order to match you to the right puppy, please describe your lifestyle such as activates, travel, exercise, hobbies, etc. *
Are you interested in dog sports? If so, please list the sports you would like to do with your puppy.*

ConformationFlyballAgilityDock DivingRally/obedienceJust a companion!Other
Family & Home Information
How many people are living in your home? *
Do you have children at home? *

YesNo
Provide detailed information about your children's ages and some more specific information. If you live with roommates please list how many.*
Do you rent or own your home?*

RentOwn
Does anyone in the home have allergies to animals?*

YesNo
Is everyone in the household in agreement to adding a new pet to the family at this time?*

YesNo
What is your occupation/source of income?*
What is your home type?*

DetachedSemi-detachedTownhouse
Do you have a fenced yard?*

YesNo
Care of Your Dog
Do you intend to take out pet insurance for your puppy?*

YesNoUndecided
How long will your puppy be left alone during a typical day? (Please be specific about hours of work/commute times, schedule, etc)*
Do you agree to follow veterinary recommendations on vaccinations?*
How did you hear about Velaris?*
Any additional comments or questions?
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Velaris Puppy Application Form

Personal Information

Family & Home Information

Care of Your Dog