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 Name Last Name
Email
example@example.com
Deposit type

Cheque E-transfer Other
Full Name *

First Name Last Name
Profession *
E-mail *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number - Home *

Area Code Phone Number
Phone Number - Cellular

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

Rural Suburban Urban
Do you have children at home? *

Yes No
Does Anyone in your household have allergies to animals? *

Yes No
Have you owned a dog before? *

Yes No
Do you have any pets now? *

Yes No
What Gender are you looking for? *

Male Female No Preference
What color are you looking for? *

Tricolor Sable No Preference
Do you have a big enough yard for dog? *

Yes No
Will the puppy live indoors? *

Yes No
Do you understand the time and energy it takes to care for a puppy: *

Yes No
Will you be attending obedience classes with your puppy? *

Yes No
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:

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Puppy Application

Nelson Homestead Collies