Puppy Application – Outstanding Canines

First Name *

Last Name *

Email Address *

Phone *

Street Address *

City *

State/Province *

ZIP / Postal Code *

Country *

What breed are you interested in *

Please tell us why you are interested in a puppy/dog *

What is your primary reason for purchasing a puppy/dog? *

Will this be you or your family's first puppy together? *YesNo

Have you raised a dog from puppyhood before? *YesNo

Please tell us about the breeds, gender, and ages of dogs you currently own or have previously owned. *

What other pets/livestock do you have? *

Please indicate your preference for puppy gender. *MaleFemaleNo Preferance

Do you have a coat colour preference? Yes or No *

Of the following, which is most important to you for puppy selection? *

We try to match a puppy's temperament and energy level to the potential puppy buyer's needs. Are you willing to accept a puppy match regardless of the puppy's coat color or gender ? *YesNoMaybe

Please describe the personality/temperament traits and energy level you are looking for in a puppy

Please briefly tell us a little about yourself, your family, and lifestyle as it relates to life with a puppy/dog *

How many people live in your home? What ages? *

Is there anyone in your home that does NOT want a puppy? *YesNo

What type of home do you have? *

Do you rent or own your home? *

Have you ever had to rehome a pet? If yes, please describe *

How much time do you spend away from home and what arrangements will be made for your puppy's care, exercise, containment, etc when you are away from home? *

Are you willing to provide the names and contact information for 2 references not related to you

Please share the name of your veterinarian and their contact information below.

Vet's Phone

Vet's Name

Vet's Street Address

Vet's City

Vet's State/Province

Vet's Country

More Information

Credit / Debit Card *

PUPPY APPLICATION FORM