Date:
Name:
Phone number:
E-Mail address:
City and state you are located in:
Puppy interested in:
Family size and ages:
If you have children, have they been around dogs or puppies before?
Does everyone in the family want a puppy?
Do you have any other dogs?
If so - what kind, size and age?
Do you have experience with this breed?
Have you researched the specific needs/problems of this breed?
Do you plan on taking your puppy to obediance classes?
Please give me a vet reference - name and phone number or e-mail. If you do not have one please explain why.
Please give me a personal reference - name and phone number or e-mail.
Do you own or rent your home?
If you rent is this specific breed allowed?
Landlord name and phone number?
A pet is a lifetime commitment.
Are you prepared to welcome a dog into your home for up to 15 years?
How did you hear about us?
Friend, FaceBook, web site? If it was a web site, please let us know which one.
We offer several discounts - military, fire, police, k-12 teacher, nurse, limited registration, customer pick up and early payment. Will you qualify for any of these?
Please give me any additional information you care to share.
This questionnaire lets us get to know our prospective puppy families a little better. We like to know they are going to great homes with families who are prepared to love and cherish them for years to come. Feel free to fill this out anytime, we keep it on file for 6 months. Thank you!
