Puppy Application form

Puppy Application

The information contained in this application is used only for the purpose of placing a puppy and will not be used elsewhere. A $150 deposit to hold your puppy will be collected after your application is approved, and will be deducted off the total price of the puppy.
Nelson Homestead Collies

scotch collies
First NameLast Name
Email
example@example.com
Deposit type

ChequeE-transferOther
Full Name*

First NameLast Name
Profession*
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number - Home*

Area CodePhone Number
Phone Number - Cellular

Area CodePhone Number
Lifestyle:
With these questions, we will be able to match the puppy better with its new home.
Household Setting*

RuralSuburbanUrban
Do you have children at home?*

YesNo
Does Anyone in your household have allergies to animals?*

YesNo
Have you owned a dog before?*

YesNo
Do you have any pets now?*

YesNo
What Gender are you looking for?*

MaleFemaleNo Preference
What color are you looking for?*

TricolorSableNo Preference
Do you have a big enough yard for dog?*

YesNo
Will the puppy live indoors?*

YesNo
Do you understand the time and energy it takes to care for a puppy:*

YesNo
Will you be attending obedience classes with your puppy?*

YesNo
Please let us know what the puppy will be used for. House dog and family pet, service dog, farm dog, herding dog, breeding purposes, rescue dog etc. *
Please indicate anything else that may help us with selecting the right puppy for you.
By sending this electronically, I acknowledge that I have completely read this questionnaire and comprehend it fully.

I understand that applying does not ensure approval
Your name*
E-mail*
Should be Empty:

Puppy Application

Nelson Homestead Collies