Puppy Application Form

Your Name (required)

Your Email (required)

Phone Number (required)

Your Street Address (required)

City (required) State (required) Zip Code (required)

Explain why you would like to add a Dalmatian to your family: (required)

What gender of puppy are you interested in? (required)
MaleFemaleIt doesn't matter, just right fit for my family

Do you have a color preference? (required)
No PreferenceBlackLiver

What do you want to do with your new puppy? (required) Pet/Home CompanionShow Dog (Conformation)ObediencePerformance EventsTherapy Dog

Have you owned a Dalmatian or Dalmatians previously? (required)
YesNo

If yes, please describe your other Dalmatians:

How old are they? Where did you buy them from? If deceased, what was the cause of death?

Have you owned any dogs before? (required)
YesNo
If yes, please describe:

Have you owned other pets previously? (required)
YesNo
If yes, please describe the other pets you have owned:

Do you have children? (required)
YesNo
Tell me about your family - spouse, significant other, children (ages, hobbies, activities): (required)

Are all family members in agreement about your decision to acquire a puppy? (required)
YesNo
Have you ever surrendered a dog to an animal shelter or other organization? (required)
YesNo
If yes, describe the reason for the surrender:

Is your yard fenced in or do you have a fenced in area for the puppy? (required)
YesNo
If yes, please describe the yard, type of fencing and height: (chainlink, wood privacy, other):

Does your fenced yard/area have shade?
YesNo
What type of containment will you provide for your Dalmatian? (check all that apply) (required):
yardkennel runfenced in yardinside homecrateother
What environment will your new puppy live in (inside, outside, both)?
insideoutsideboth
How much time will you be able to spend with your puppy each day? (required)

Every breed of dog may have breed specific issues. Are you aware of the potential health issues that may be associated with Dalmatians? (required)
YesNo
If yes, please describe:

What kind of food will you feed your Dalmatian? Are you aware of the problem of high "purine" ingredients in foods & treats causing urinary stones in Dalmatians? (required)

Who is your vet and do I have permission to contact him or her? (required)

Tell me about yourself and your plans and/or goals for a new Dalmatian puppy. (required)

Are you a member of any dog clubs? (required)
YesNoI plan to join
If yes, which clubs? (required)

Do you have any references I may contact? (preferably people in dogs, or trainers, friends with dogs) (required)

Will you take your new puppy to basic obedience/socialization classes? (required)
YesNo
Where do you work? Where will the puppy be kept while you are at work? How long will the puppy be left alone during the work day? Will the puppy have access to the outside or be kept inside during the work day? (required)

Where will the puppy sleep? (required)
in cratein bed with uson his/her own dog bedin dog runin laundry/mud roomoutside
Will you crate train your new Dalmatian puppy? (required)
YesNoMaybe
How will you exercise your Dalmatian? (required)

Does anyone in your household have allergies? (required)
YesNoMaybe
Dalmatians shed all year round, 365 days a year. Are you prepared to live with little white hairs stuck to everything? (required)
YesNoMaybe
Do you have any additional comments or questions for me? (required)

Thank you for filling out our application form. Please click on the submitt button below.