Yorkshire Terrier Adoption Application

Full Name*

First NameLast Name

Primary Phone Number*

Area CodePhone Number

YesNo

E-mail*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

HouseApartmentCondo/TownhouseMobile Home

OwnRent

Please list name & age of each person living in household, including yourself:*

YesNo

Please describe the neighborhood you live in. Ex: town or country, quiet or busy, major roads; traffic, are there a lot of children, dogs etc...*

Please list all animals you currently own by breed/sex/gender/short description of dogs personality & temperament.*

yesno

If no, please explain why*

N/A if yes

yesno

If yes, please explain circumstances*

N/A if no

Why do you want to adopt a Yorkie?*

What is your favorite and least favorite thing about Yorkies?*

What is your experience with Yorkies?*

Who would be responsible for your Yorkies daily care?*

How many hours a day would your Yorkie be left alone?*

Where will your Yorkie stay when alone?*

Where will your Yorkie stay at night?*

Where will your Yorkie stay during family trips/vacations?*

PetShowBreedingOther

Are there any specific traits that you are looking for? Example: I am looking for a lighter colored male of approximately 6-7 pounds with an outgoing personality.

What will you feed your Yorkie?*

malefemaleeither

I agree

yesno

Any other comments or information you would like us to know in considering your adoption application?

Once you submit this application please join our Facebook group titled "Little Blessings Yorkshire Terrier Fans". That group serves as our waiting list. Any available puppies as well as litter updates, will be posted in that group.

By submitting this form, I hereby certify that all information provided by me is true and complete. I understand that any misrepresentation of information may result in forfeiture of holding fee or contract guarantees.

Signature*

Little Blessings Yorkies