BIG AND SMALL FURRY FRIENDS

PUPPY(PET) APPLICATION

Personal Information

Your Name: *

Your Full Address: *

Home Phone: *

Cell Phone:

Email address: *

What is your home setting? *

Rural, Urban, Apartment, Multi-Unit

Please provide the name and age of each person currently living in your home. *

Do you own or rent your home? *

Home Environment

How many hours a day will your pet be left alone? *

Where will your pet be kept when he/she is alone? *

Will this pet be kept as an indoor or outdoor pet? *

Please describe your yard. *

size, type of containment, height, etc.

Please tell me about the pets that you currently own. *

Please provide us with your veterinarian's address & phone number. *

Please let your veterinarian know that we will be contacting him/her about your current/past pets thank you.

Additional Information

How did you hear about us? *

referred by, search engine, another site, etc

Please let me know if you are interested in a certain puppy(pet), or if you would like to be on the waiting list for a future litter

Give the collar color of available puppy; or let me know the sex & color preference (if any) for waiting list.

Are you interested in (list all that apply) *

pet, show, breeding, obedience, agility, therapy, etc.

Are you willing to feed a high quality diet suggested by the breeder? *

Please provide us with any other information that you feel important for us to have. *