Puppy Application

Thank you for considering one of our puppies as a member of your family. We are very selective to whom we sell our dogs to.  If you would like to be considered for one of our puppies, please fill out the questionnaire.

Name:______________________________________________________________

Address:____________________________________________________________

Home Phone:_________________________ Cell Phone:_____________________

E-Mail _____________________________________________________________

Occupation:________________________________________________________

HOUSING / LANDLORD INFORMATION

Do you own or rent your home? ____________________

If you rent, do you have the landlord's permission to keep a dog? ________

Landlords Permission must be obtained!

Do you live in a:  House  ___Apartment ___Townhouse  ___Other:__________________

How long have you lived at this address? _________________________________

FENCE / YARD / CRATE INFORMATION

Do you have a completely fenced yard suitable for a dog? Yes  ___  No ____

Do you have a kennel run? Yes  ___ No____

Describe fence or kennel run - type, height and size: ______________________________

If you do not have a fence or kennel run, how will you handle the dog’s exercise and toilet needs?

___________________________________________________________________

Do you have a suitable dog crate? Yes  ___no___

If no, are you willing to purchase one?   Yes  ___no___

HOUSEHOLD INFORMATION

How many adults in the house hold? _______  Children? ____________

Age and gender of children: ____________________________________________

Are any members of you household allergic to animals?   yes  ___no___

Who in the household will have the main responsibility of caring for this pet?

___________________________________________________________________

How many hours a will the dog be alone? _________________________________

Please describe your lifestyle:   active  ____ passive   ____ in-between____

OTHER ANIMAL INFORMATION

Do you own other dogs?   yes  ___no___    Spayed / Neutered?   yes  ___no___

Please list breed, size, and gender of each:__________________________________

___________________________________________________________________

Do you own cats? yes  ___no___     If yes, how many? ___________

Any other animals? yes  ____no____   if yes, please describe:_______________________

____________________________________________________________________

How many dogs have you owned in the past five years? _____________

If you do not still own the dog(s), please describe what happened to it (them).  Please be specific.

___________________________________________________________________

Have you ever returned a pet to the breeder?  ___yes  ___no  

If so, what were the circumstances? ________________________________________________

___________________________________________________________________

Have you ever given a pet away?   yes  ___no___       If so what were the circumstances?

_________________________________

Have you ever taken a pet to the pound or shelter?   yes  ___no___  If so, what were the circumstances?

_________________________________________________________

Have you owned this type of breed before? yes  ___no ___

Why did you choose this breed? _________________________________________

___________________________________________________________________

Do you know what they are bred to do? yes  ___no___    If so what? ______________________

___________________________________________________________________

What activities do you plan on doing with this dog?

pet___ guard___ hunting___ obedience____ Agility ___ Trials___

other: _____________________________________________________________

Will you be attending any training classes? ___________________________________

Do you plan on keeping this dog primarily?   indoors  ___outdoors___

Where will the dog sleep?_______________________________________________

Do you have a regular vet? yes  ____no ___

Name: ______________________________________Phone:________________

Address:___________________________________________________________

PREFERENCES

At what age would you like to get the puppy? _______________

SEX

I would like a female  ___male  ___no preference___

COLOR

I would prefer a: buff(red) ___black   ___ brown  ___ parti-color ___ no preference ___

Have you considered an older dog instead of a puppy? yes ___no ___unsure___

Do you plan on breeding this dog?   yes  ___no  ___not sure___

If so why?__________________________________________________________

_________________________________________________________________

Thank you for investing this time in your search for a new puppy.

We will contact you asap regarding your application.

This questionnaire should be forwarded to puppies@happycockers.com .