Canine Purchase Application

Detailed Dog Purchase Application

Please complete this form in as much detail as you are able to provide to ensure all the information needed is given.
Applicant Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
What type of dog are you interested in?

Other
Preferred Breed(s)
Preferred Gender
Preferred Weight Range (in pounds)
What qualities or temperament are you looking for in your dog?
If applying for a service dog, what specific tasks should the dog be trained to perform?
Are there any special tricks or commands you would like the dog to know?
Do you currently own or rent your home?
Type of home

Other
Do you have a fenced yard?
How many people (adults and children) live in your household?
Please list the ages of all children in the household (if any)
Do you have other pets?
Please list all current pets (type, breed, age, temperament)
What is your current employment status?
Annual Household Income (USD)
Would you like to discuss a payment plan for your purchase?
How would you like to receive your dog?
Do you have prior experience owning or handling dogs?
If yes, please describe your previous experience with dogs (breeds, training, etc.)
Why are you interested in purchasing a started, trained, or rescue dog?
Is there anything else we should know to help us match you with the right dog?
Should be Empty:

Detailed Dog Purchase Application