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Puppy Application

Puppy interested in (Color):
Puppy Breed:
Puppy Sex:
First Name:
Last Name:
Your Address:
City:
State:
Zip Code:
Email Address:
Type of Home? Apartment
Mobile Home
Single Family Home
Condo/Townhouse
Do you? Own
Rent
If you rent we must confirm that your landlord permits pets. Please provide their contact information:
Landlord's Name:
Landlord's Phone Number: --
000-555-1212
Yard Type: Fenced/Enclosed
Open yard
None
Do you have other pets in your home? Yes
No
If yes, please describe (type, breed, age):
Please indicate if you Agree/Disagree with the following:
Spay/Neuter? Agree
Disagree
Return to Breeder if unable to keep for any reason? Agree
Disagree
Regular Grooming? Agree
Disagree
Vet Care? Agree
Disagree
Regular Vaccinations? Agree
Disagree
Crate Training? Agree
Disagree
Have you ever owned a dog before? Yes
No
Have you ever owned a Pug before? Yes
No
Are there children living in your home? Yes
No
Ages of children:
Where will your puppy stay during the day?
How many hours a day will your puppy be left alone?
Have you ever had to give up a pet to a shelter? Yes
No
Do you understand the cost of puppy care? Yes
No
Do you know the animal regulations of your area? Yes
No
Do you have a veterinarian that you currently use or do you have one lined up? Yes
No
Veterinarian's Name:
Veterinarian's Phone Number: --
000-555-1212
How did you hear about MTD Kennel?

I certify that all information in this application is true and I understand that false information may void this application. Completion of this application in no way guarantees acquisition of a puppy. All applications are approved at the discretion of MTD Kennel. MTD Kennel reserves the right to deny approval of any application for any reason. All applicants will receive a response to this application within 2-3 days. If you have any questions please email us at info@mtdkennel.com.
  Yes, I Accept
Date: