Puppy Application

Thank you for considering one of our “Black Pearls” 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: ______

Age: ______

PUPPY GENDER you prefer to have: Boy ___ Bitch _____ Doesn’t matter ______

What activities do you plan on doing with this dog?

No Activities just Pet____ Conformation Show ____ Hunting___ Obedience____ Agility___ Trials___ Therapy dog ___Lure Course

Other: ______

In few sentences please describe your situation, why do you want to get a new puppy:

______

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!

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: ______

______

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?

______

OTHER INFORMATION

Do you own other pets? yes ___no___ Spayed / Neutered? yes __no___ Please list breed, size, and gender of each:______

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.

______

Will you be attending any training classes? ______

Do you plan on keeping this dog primarily? indoors ___outdoors___

Where will dog sleep?______

Do you have a regular vet? yes ____no___

Name: ______Phone:______

Address:______

In case of accident or other health related problems do you have enough funds to cover expensive treatment? Yes____ No______will buy pet insurance ______

Why do you think we need to choose you among others applicants?

______

REFERENCES

Please provide us with 3 references from your vet, trainer or people who can stand for you that you are good pet owner. ______

______

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