Puppy Application Form

Date of Application:

Your Full Name:

Your Address:

Home Phone #:

Work Phone #:

Email Address:

Occupation:

Referred By:

Which puppy are you interested in?

Where will the puppy be kept? Select One Inside Outside BothNot sure

Do you plan on breeding this dog? Select One Yes No

If you plan on breeding, at what age and what are your intentions?

Type of Dwelling? Select One House ApartmentMobile Home Other

Do you rent or own your home? Select One Rent Own

Do you have a fenced in yard or suitable pen? Select One Yes No

Will there be someone available to feed and exercise the puppy during the day? Explain.

Do you have children? If so what are their ages?

How many other pets do you own?

Name and Phone Number of Your Veterinarian

Are you willing to get annual veterinary check ups and vaccines for your dog? Select One Yes No

Are you planning on having this pet on heartworm and flea preventative? Select One Yes No

Are you willing to provided any and all proper veterinary and nutritional care that this puppy will require? Select One Yes No

What type of food do you plan on feeding your puppy?

Do you plan on attending any obedience classes? Select One Yes No

Are you aware the costs of caring for a giant breed dog? Select One Yes No