Puppy Placement Application
Please complete all sections to apply for puppy placement. Your responses help us ensure the best match for both you and our puppies.
Applicant Information
Tell us about yourself.
Full legal name
*
First Name
Last Name
Profession/Employer
Email address
*
example@example.com
Phone number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Street address
*
Address line 2
City
*
State
*
Zip code
*
Puppy Placement Type
Select the type of placement you are applying for.
Placement type
*
Breeding/Investment
Pet (spay/neuter)
Household & Lifestyle
Help us understand your home environment.
Residence type
Please Select
House
Apartment
Condo
Townhome
Other
Do you own or rent your residence?
*
Own
Rent
If you rent, please provide landlord contact information (name & phone/email)
Are there children living in your home?
*
Yes
No
If yes, please list ages of children
Are there other animals in your home?
*
Yes
No
If yes, please describe other animals (species, age, temperament, etc.)
Does anyone in your household have allergies to animals?
*
Yes
No
If yes, please provide details about allergies
Do you have a fenced yard?
*
Yes
No
If yes, please describe your fence (height, type, etc.)
Will the puppy live indoors?
*
Yes
No
Where will the puppy sleep?
Do you or another household member work outside the home?
*
Yes
No
If yes, how many hours will the puppy be left alone per day?
Who will be the puppy's primary caregiver?
Experience & Care Plan
Share your experience and care plans for your new puppy.
Have you owned a dog before?
*
Yes
No
If yes, what breeds and how many years?
Have you owned a bully breed before?
*
Yes
No
Which training tools do you plan to use?
Clicker
Treats
Crate
Leash
Other
Will you attend training classes?
Yes
No
If yes, please provide trainer name or facility
Describe your exercise plan for the puppy
*
Veterinarian reference (name & phone)
Puppy gender preference
Male
Female
No preference
List any additional preferences (color, temperament, etc.)
Notes & Acknowledgements
Final notes and required acknowledgements.
Additional notes or comments
I understand that submitting this application does not guarantee puppy placement.
*
I agree
I confirm that all information provided is accurate to the best of my knowledge.
*
I confirm
I acknowledge responsibility for the care and well-being of the puppy if placed with me.
*
I acknowledge
Type your full name as your signature
*
Date
*
-
Month
-
Day
Year
Date
Submit Application
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