Tyme2Parti

I am seeking a:

Puppy
Older Puppy
Adult Dog
Undecided/No Preference

I am Interested in a:

Male
Female
Undecided/No Preference

Name (First and Last):

Street Address:

City, State, Zip:

This home is:

Owned
Rented

If this is a rental property, does the landlord allow Pets?

Yes
No

Landlord's Name, Address and Phone Number:

Type of Home:

Apartment/Condo in Town/City
Single Family House in Town/City
Duplex Home in Town/City
Acreage
Farm
Single Family House Outside of Town/City

Is there a fenced yard/area available?

Yes
No

Email Address:

Phone:

Is this phone number above a:

House Phone
Cell Phone with Calling and Texting
Cell Phone with Texting Only
Cell Phone for Calling Only

Preferred Method of Contact:

Who will this puppy/dog be for?

Yourself or Someone Else in Same House
Someone Else/Different Household

If it is for someone in Another house, who (Name)? (Skip if it doesn't Apply)

How is this "other" person related to you? (Skip if it doesn't Apply)

If this Puppy/Dog is for someone else: (Skip if it doesn't Apply)

It will be a suprise/gift
They asked me to look for them

Who else lives in the house where the puppy/dog will live? Ages?

Is everyone in this home in agreement on getting this new pet?

Yes
No

Who will be the Primary Caregiver/Trainer for this puppy/dog? Age?

What is the purpose for Pet? (Check ALL that apply)

Companion Animal
Security/Watch Dog
Service/Therapy Dog
Breeding
Working Dog
Showing (Conformation Class)
Showing (Obedience or Agility Class)
Children's 4-H or other simular type/level Showing
Teaching Children Responsibility
Hunting Dog
Cattle/Farm Dog

Where will this puppy/dog be kept while owner(s) are home?

Where will this puppy/dog be kept while owner(s) are gone?

Do you currently have other Pets/Animals on the Property?

Yes
No

If yes, what type? Breed? Indoor? Outdoor? Age? Etc

Have you had any other pets in the past 10 years that no longer live with you? If yes, where are they now? (ie: dead, hit by car, at shelter, etc)

Are you aware of the grooming needs of a poodles, and if yes, who will Groom your new pet?

Veterinarian Name/Number:

Is there something else about this home that you would like to tell me?

This application was filled out by: (Name) By putting my name below, I am verifying that all the answers in this application are truthful and are answered to the best of my knowledge: