Puppy Application
Applicants Information
Name
*
First Name
Last Name
Email
*
example@example.com
Confirm Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
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Please Select
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Other
Country
Physical Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Occupation?
*
Do you currently own other pets? Please tell us about them.
*
Are your other dogs spayed/neutered?
*
Yes, all of them
No, none are
Yes some are.
Why have you decided to add a Dalmatian to your home?
*
What breeds of dogs have you owned in the past?
*
Is this your first time raising a puppy?
*
Have you ever owned a Dalmatian before?
*
Have you done any reading/research on a Dalmatians diet requirements?
*
Do you currently have a Veterinarian?
*
Yes
No
I could use your help finding a good one.
Have you had time to read about the LUA project? There is a tab on the website.
*
Yes
No
No because I don't an LUA.
Not yet but plan to
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Puppy Preferences
Applicants will be split into categories based on puppy preferences (gender/color/type of spotting). This addition to how long you’ve been on the wait list will determine your priority in a puppy.
What is your gender preference in a puppy?
*
Male
Female
No Preference
What color spotting are you looking for in your puppy?
*
Black
Liver (brown)
No Preference
What time of spotting are you looking for in a puppy? (check all that apply)
*
Light Spotting
Medium Spotting
Heavy (overlapping) Spotting
Patches (such as solid ears) are okay
Any type of spotting I'm not picky
Are you wanting to breed this puppy some day?
*
Yes, I would like to breed him/her
No, I’m not interested in breeding him/her
I’m not sure yet
Are you looking to compete in events with your Dalmatian?
*
Yes
No
I haven't decided yet
Hunting
Obedience, 4-H
Conformation Show
Agility
Fast CAT / CAT (Racing)
Just a family pet
Other than what’s listed above, is there anything else you are looking forward to doing with your pup?
*
Would you be willing to "Co-Own" the dog for the possibility of showing and/or breeding it?
*
No, I would like to sign a "Pet Contract".
Yes, I would love to "Co-Own" as long as the dog stays at my house.
Yes, but should it be bred I don't want to deal with the puppies or expenses.
In the event we don’t currently have puppies available. Would you be okay with us forwarding your application to another breeder?
*
Yes, that would be fine.
Yes, but only if it’s an LUA breeder.
No, I’d rather wait for a litter from you.
No, let me know and I’ll find a different breeder.
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I understand the price of the puppy is:
*
$1,500.00 as it costs the same to raise each healthy puppy regardless of Pet or Show Potential.
I understand there is a deposit required to hold a puppy:
*
Yes, I understand I need to pay the non-refundable deposit ($300) to hold a puppy.
Type of Housing?
*
Apartment
Condo
House
Trailer
Living Situation
*
Own
Rent
Rent to Own
Live with Family
Other
How long have you lived at your current residence?
*
How many adults live in the household?
*
1 adult (myself)
2 adults
3 adults
4 adults
more than 4
Are all the adults in the home in agreement to purchase a dalmatian puppy?
*
Yes
No
No, but they will come around.
How many children live in the household?
*
0
1
2
3
4
5
6
7+
What are the ages of the children in the household?
*
Does anyone in the household have allergies to any type of pets?
*
Do you have a fenced yard?
*
Yes
No, but I plan on walking my dog for potty breaks
What type of fencing do you have?
*
How tall is your fence?
*
I don't have a fence
3 feet
4 feet
5 feet
6 feet
7 feet
8+ feet
Where will the puppy spend most of its time?
*
We know everyone has to work :) How long will the puppy be left alone each day?
*
How will the puppy be trained?
*
I/We will probably train the pup ourselves
Professional Trainer
Other
Is this puppy being purchased as a surprise for someone?
*
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All the puppies are sold on a contract. Option #1: "Pet Contract" with a pet contract the puppy is sold with Limited AKC registration. On this contact the puppy MUST be spayed/neutered by a year of age and should NEVER be bred. Option #2: "Co-Ownership" - with co-ownership the puppy will be your pet. With the hopes that they earn some AKC titles. Should the puppy be worthy of being bred at 2-4 years of age the breeder will split the expenses and profits of breeding.
*
Pet Contact - with limited AKC Registration (no breeding rights)
Co-Ownership - I am happy to co-own with the breeder to help the overall LUA project, BUT I do NOT want to deal with puppies or the expenses of breeding.
Co-Ownership - I wouldn't mind spliting the expenses and profits with breeding.
I don't mind either contract.
We care about each and every puppies well being. Should you not be able to keep the puppy/dog do you agree to return it to the breeder, and NEVER surrender it to a shelter or rescue?
*
Yes I agree to never sell or surrender the puppy/dog to anyone other than the breeder. I also understand that surrending the dog back to the Breeder will NOT generate a refund.
How did you hear about Spot N my Heart Dalmatians?
*
Please feel free to provide us with any other relevant information you would like to share.
Did you have any questions for us?
By signing I understand that I have answered all the questions true and correct to the best of my knowledge.
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