Puppy Application

We HAVE PUPPIES AVAILABLE FOR ADOPTION

Name*

Last name*

Address*

Phone Number

Email*

Preferred Gender*

Male

Female

Either

I am looking for a - *

Pet

Show dog

Do children under 10 years live in your household?*

No, adults only.

Yes, children under 10 years live in our house.

Do you work or retired?

Work from home

Work away from home

Retired

Hours of Work

5 to 8 hours a day

More than 8 hours a day

Are you a pet owner at the moment

Have you done research on Yorkshire terrier?*

Yes

No

Living conditions -*

I live an apartment

I live a house with yard

I live in a house without yard

If you rent, have you checked your rental agreement for allowance of pets?*

Yes

No

Not applicable

Are you willing to fly/drive to pickup your new puppy?*

Yes

No

What are your plans to keep new puppy safe at home? How do you keep puppy safe during un-supervision?