Your Name (required):

Home Address (required):

Home City, State, Zip (required):

Contact Phone (required):
Note: Format for Phone#: 123-456-7890

Date:

Email address:

Where did you hear about us?.

Select Application Type (required)
PuppyGuardian
Note:MUST BE FILLED OUT.

1. Which litter are you applying for? Why? Describe your ideal dog's temperament.

2. Why is an AL the right breed for you?

3. What is your living situation?

Rent/LeaseOwnSingle FamilyDuplexApartmentOther

4. Will you train your dog for service/therapy? What kind?

5. Do you have a fenced yard?

YesNo
What type of fence? how tall? If not, how will you exercise and potty your puppy?

6. Please tell me about your family. Do you have children/grandchildren? How old are they?

7. Have you owned dogs before? What breed(s)? What happened to them?

8. Please list your current pets - their ages, species, intact/spayed/neutered?

9. What sex puppy are you interested in & why?

10. Are you willing to use crate training? Have you used this method before?

11. Who will have primary responsibility for this puppy?

12. Who will be able to be at home while this pup acclimates to your household?

13. Where will your puppy spend his/her days? Please describe a typical day.

14. Where will your puppy spend his/her nights? Please describe.

15. What activities do you plan on doing with this dog?

16.Are you willing to train this dog toward Canine Good Citizen (CGC) standards?

17. If you travel frequently, what provisions will be made for the dog while you are away?

18. Are you willing to continue feeding a high quality diet to your puppy?

YesNo

19. Who in your family is most excited for this dog? Why?

20. Does anyone in your family suffer from dog related allergies?

YesNo