Puppy Application

Puppy Application

Name:

Address:

Email:

Contact Information

Eve#:

Cell#:

Day#:

Family Information

Who were you referred by, or how did you choose this particular kennel?

Do you Rent or Own?

If you rent, please provide name of landlord, address & phone number:

Names, relationship, ages of others in the household?

Do you currently have any other pets? Yes or No

If "Yes", please list and describe your pet(s) as follows: Name, Type, Age, Sex, Spayed/Neutered:

If you answered 'yes' to owning other pets, please describe the current diet, supplements, etc. you are feeding your animal(s).

Does anyone in your household have allergies to animals? If Yes, to what & how severe?

Please tell us about your yard: Fenced, Unfenced, Patio/Deck only, No Yard

How long have you lived at this address?

Current Veterinarian Information:

Name of Veterinarian Clinic:

Address & Phone #:

Veterinarian's Name:

Type of Home: Detached, Single Family, Townhouse, Duplex, Apartment, Condo:

Any plans of moving? When? Where? Why?

Describe the approximate size of your yard?

Canine Accommodations

Where will the pup be kept during the day & night?

Who will be the primary care giver?

Will the dog/pup live primarily indoors or outdoors?

How many hours on average will the pup be left alone?

Is anyone home during the day?

How many hours a day will the pup be kept outside, it any at all?

How will the pup be confined if/when left outside?

Will you purchase pet insurance for your puppy? If Yes, Do you plan to keep the policy for the life of the dog?

Would you be interested in a male of female?

Will you be attending any training classes?

Have you ever house trained a dog before?

If yes, at what age will you start? Which activities or competitions are you interested in?

Are you interested in showing the dog in conformation ring?

Are you interested in competing in performance events such as obedience, agility, etc.?

Past Dog Experience:

Have you ever owned a dog? Yes or No

Please list breed of dogs, when you owned them & if you no longer have them, what happened to them?

Have you ever surrendered an animal to a shelter, given an animal away or sold an animal? Yes or No If yes, please describe circumstances?

Have you ever returned a pet to the breeder? If so, what were the circumstances?

Dog Related Information:

What is your purpose/goal for getting a Rising Moon Puppy? Show/Conformation, Breeding, Working, Sport of Personal Protection, General Family Protector, Companion (List all that apply)

Do you plan on crate training?

Would you be able to pick up your pup personally?

Do you have a trainer that you currently use or have used in the past?

References:

Please supply names and telephone numbers of personal references, preferably individuals who are familiar with your care of animals:

Validation:

Please type your full name here. By doing so, you are giving us your e-signature that the above information is true and correct to the best of your knowledge. Your e-signature also authorizes us to contact any individual listed above and obtain information about you that could be regarded as confidential. This in no way binds us to sell you a dog, nor binds you to buy a dog. This is for informational purposes only.