Puppy Application First Name * Last Name Email Phone * Home Address* City * State* Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code* Occupation(s) * Age ( If under 18 ) Have you ever owned this breed before? * Where will the puppy be left when you are away from the home? * Please specify the breed, age & sex of each animal you own & whether it's neutered. * How many adults are in your household? * Would someone be home during the day with a new puppy? If NO, how many hours a day/night would puppy be alone? * What type of building do you live in: ie Single family home, condo, apt, duplex etc.? * Do you have a securely fenced yard or patio? If yes, how many feet tall is the fence? * If NO, how do you plan to deal with exercising and toileting puppy? * Do you have a swimming pool? If yes, is it seperately fenced? (this means seperate from the fenced back yard the pool is in) * Where will your puppy sleep at night? * Are you willing/able to attend obedience classes? * Do you have a sex preference for a puppy? * Do you have a color preference? * If there ever came a time when you could no longer keep your puppy/dog, describe what you would do with your dog? Are you willing to spay/neuter your dog? * Yes No Have you done research on this breed prior to deciding they are the dog for you? * (If so, please describe where you gathered information.) * Are you currently on any other puppy/dog waiting lists? Are you interested in Showing/Breeding? * Have you ever bought from, or given-up a dog to, a shelter or pound? If so, why? * Send