Puppy Application Go backYour message has been sent First and Last Name(required) Warning House Address Number (required) Warning Street(required) Warning City(required) Warning State(required) Warning Zip Code(required) Warning Phone(required) Warning Email(required) Warning How many adults are in your household?(required) 1 2 3 4 More than 4 Warning What are their names and ages?(required) Warning How many children are in your household?(required) None 1 2 3 4 More than 4 Warning What are their ages? Warning Who will be the primary caregiver? (please provide their name and age)(required) Warning How many hours will the dog be home alone?(required) 1-3 4-6 7-9 More than 10 Warning Will there be someone who can exercise the dog during the day?(required) Yes, an adult in our home will be home for at least half of the work day. Yes, an adult in our home can stop in during lunch time. Yes, someone outside of our household can stop in during the day. Yes, I will just use Doggy Daycare on long days at work. No. Warning Have you ever had a dog before?(required) Yes No Warning If yes, please list the breeds that you have owned in the past and/or currently own. Warning If yes, do you still have the dog? If not, please explain what happened. Warning Do you now your home or rent?(required) I own my home. I own my condo. I rent a house and pets are permitted. I rent a house and pets are not permitted. I rent an apartment and pets are permitted. I rent an apartment and pets are not permitted. Warning If you rent, please provide your landlord’s name and contact information. Warning Do you have a fenced in yard?(required) I have a fully enclosed tactile fence. I have a partially enclosed tactile fence. I have an invisible fence. I do not have a fence, but can put in a fully enclosed tactile fence if need be. I do not have a fence, but can put in an invisible fence if need be. I do not have a fence. Warning Please check all that apply:(required) I am interested in black spotted only. I am interested in liver spotted only. Color doesn't matter. I am interested in male only. I am interested in female only. Sex doesn't matter. I want to show my dog (Conformation). I wan't to show my dog (Performance). I don't care whether the dog is registered with the AKC or the UKC. I am only interested in an LUA puppy. I am interested in an adult housebroken dog, I am interested in more information about Dalmatians. Warning Do you have any other animals? If so, pleas describe their species, spay/neutered status, personality, and age.(required) Warning Why did you choose the Dalmatian breed?(required) Warning have you ever returned a pet to a breeder?(required) Yes No Warning Have you ever given a pet away?(required) Yes No Warning Have you ever turned a pet over to a shelter?(required) Yes No Warning If you answered yes to any of the three questions above, please explain the situation. Warning Where did you hear about us?(required) Warning Warning. SubmitSubmitting form Δ Share this: Click to email a link to a friend (Opens in new window) Email Click to share on Facebook (Opens in new window) Facebook Click to share on X (Opens in new window) X Click to share on Pinterest (Opens in new window) Pinterest More Click to share on LinkedIn (Opens in new window) LinkedIn Click to share on Reddit (Opens in new window) Reddit Click to share on Tumblr (Opens in new window) Tumblr Click to share on Pocket (Opens in new window) Pocket Click to print (Opens in new window) Print
