Puppy Application

Puppy Application

Nancy Magnusson Lansing, Iowa 620.215.2137
Name

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number

Area Code Phone Number
Email
example@example.com
Breed
Bichon, Havanese, Shih Tzu, Silky Terrier
1st Color Preference
Tri- Black/Tan White, Red/White, Fawn/White, Sable/White
1st Gender Preference
Male/Female
Are you willing to take a puppy that does not match you stated preference?
sex/color
Do you already have a veterinarian, if so who and what clinic.
Why are you interested in finding a new puppy?
Is this your first dog?
Is this your first time raising a puppy?
Do you have any other pets in your home, if so breed and age of those pets.
Type of housing?
single family home, apartment
Do you own or rent? If renting does your landlord allow pets?
How many adults are in you home?
How many children are in your home?
Are all adults in agreement on purchasing a puppy?
Does anyone in the family have allergic to dogs?
How will the puppy be trained?
puppy classes, trainer, trained by you
Are you willing to crate train your puppy?
How many hours will your puppy be left alone per day?
between potty breaks
Is the puppy being purchased as a gift or surprise?
Have you or anyone in the household been convicted of animal cruelty or animal hording?
Will you be able to pick up your puppy or will puppy need to fly?
Lansing Iowa pick up location
Do you agree to give us follow up reports and photos?
we love to see our puppies with their new family's
Do you agree to contact us in the event that you are no longer able to keep your puppy for any reason?
We are very passionate about our puppies and never want to see one of our puppies in a shelter or rescue.
I have read this and understand that this questionnaire help me in placing puppies with the appropriate families
yes
Do you have any questions you would like answered and how would you like contacted?
email/phone
Signature

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