PacificStar French Bulldogs Puppy Application

PacificStar Puppy Application

1(616)713-2320
Thank you for visiting PacificStar French bulldogs. If you are interested in one of our puppies/dogs, please complete the following questionnaire. There are no right or wrong answers, so please give us an honest picture of who you are, and what your lifestyle and expectations are. That way we can better be able to place the right puppy for you and your family. Thank you for your interest and cooperation.
This questionnaire is designed to help PacificStar FrenchBulldogs and yourself determine if a specific dog is the right one for you and your household. This questionnaire is required by anyone interested in our dogs.
DateTime *
Contact Information
Name *

First Name Last Name
Address line 1 *
Address line 2 *
City, State Zip *
Country *
Home Phone:

Area Code Phone Number
Cell Phone: *

Area Code Phone Number
Email *
example@example.com
Your Age *

Under 25 Over 25
Occupational Information *

Self Employed Employed by other Student Retired
Please elaborate on Occupational Information. *
Character reference and phone number: *
Household Information
How many adults are in your household? *
How many children are in your household? *
If children, please tell us their names and ages.
Have your children been around animals before?

Yes No
Are all members of your household in agreement with adding a dog to the family? *

Yes No Don't Know Other
Is anyone afraid of dogs?

Yes No
Does anyone in your home have allergies to dogs or have asthma? *

Yes No
Who will be the pet's primary caregiver? *
Do you live in a *

House Apartment Condo Mobile Home
Do you own or rent? *

Own Rent
If rent, please provide the name and phone number of your landlord:
If you are renting, does your landlord allow dogs?

Yes No
Are there any restrictions from your landlord or subdivision? *

Number of pets Size or weight restrictions Breed restrictions None
Do you have a fully fenced yard? *

Yes No Front? Back? Both?
Height and type of fence
Is there a pool and or spa on the Property? *

Yes No If yes is the pool completely fenced?' is the spa covered?
Do you have any of the following?

Underground fence Kennel Dog Run
Current/Previous Pet Information
Do you have a pet now?

Yes No
If you currently have any pets, please tell us what kind, what are the ages, and how many.
If you previously had pets that are no longer with you, please provide information regarding their history with you and what happened to these pets.
Are Your current pets spayed or neutered?

Yes No
Have you ever allowed an animal to breed?
Have you ever given up a pet?

Yes No
Please explain the circumstances that you had to give up your dog.
Have you ever had to put a dog to sleep? If so, what was the reason?
Please provide the name and phone number of your current and/or previous veterinarian or clinic:
New Pet Information
What is your primary reason for wanting a dog? Select all that apply.

Companion for you Companion for Kids Companion for other Pets Show Breeding Watchdog Gift
How would you rate your level of dog owning experience?

Beginner Intermediate Advanced
Are you willing to live with hair on the furniture, stains on your rugs, a warm body on your bed, and an animal that might be destructive at times? Pets are an investment of your time and money. Can you afford to provide medical care, grooming, and a proper diet?

Yes No
Will anyone be home during the day?

Yes No
About how many hours a day will your dog be left alone?
Where will your dog stay when left alone?
Crate, Outside, Specific Room, etc.
When will your dog be inside and when will they be outside?
Where will the dog sleep at night?
What outside areas will be available to your dog? Select all that apply.

Fenced Yard Enclosed Balcony Patio Garage Dog House
When you go on vacation, who will care for your dog?
Who will have access to the outside areas? Select all that apply

Gardner Poolman Utility Neighbor Postal
Can the outside areas be accessed from the street?

Yes No
What would happen to your pets if you moved? Locally? Out of State? Out of the Country?
Training and Care
How will you discipline your dog if they misbehave?
who will groom and bathe your dog?
Which of the following reasons might prompt you to give up your dog? Select all that apply.

Excessive Barking Biting Digging Moving Divorce Poor watchdog Destructive chewing Financial Problems Occasional accidents indoors Growling at guests Excessive vet bills Shedding Allergies New spouse/partner doesn't like dogs Aggressive on Leash None of the above No
What type of personality do you want your pet to have? (i.e. calm, energetic, protective, couch-potato) *
Preferred level of exercise with your dog?

Couch Potato Short Walks Vigorous Walks Hike or Jog Regularly
How will you normally walk your dog? *
How will you supervise the dog's outdoor activity? *
Will your dog wear a collar? *
Are you aware of crate training? *

Yes No
Do you plan to take an obedience class with your dog? *

Yes No Not sure
Have you ever house-broken a dog or puppy before? *

Yes No
If the dog has an "accident" in your home, what type of correction do you plan to use? *
What length of time will you allow your new pet to adjust to his new home? *
Are you willing to work through your new pet's issues, if any? *

Yes No
Are you aware that a new environment is stressful for your pet, and they may exhibit uncharacteristic behavior? *

Yes No
French Bulldog Specific information
Why have you decided to buy a French Bulldog?
Do you have a gender preference? *

Male Female Not Important
Color Preference if any *

Brindle Creme Fawn Pied Not Important
Are you aware that French Bulldogs have exercise intolerance? *

Yes No
Are you aware that French Bulldogs can be very difficult to housebreak? *

Yes No
Are you aware that French Bulldogs are prone to allergies? *

Yes No
Are you aware that French Bulldogs do shed? *

Yes No
Have you ever had a French Bulldog Before? *

Yes No
Do you understand that a French Bulldog dog can be a 14 +/- year commitment, and can be costly to care for annually? *

Yes No
Are you willing to provide a better than average diet for your French Bulldog? *

Yes No
Please list two (2) personal references *
I understand that I assume full responsibility for the welfare of this pet from the date of adoption.
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PacificStar Puppy Application

Contact Information

Household Information

Current/Previous Pet Information

New Pet Information

Training and Care

French Bulldog Specific information