Application

Application for Dog Ownership

Your First Name

Your Last Name

Address

City

State

Zip Code

Phone # include area code

Work # include area code

How long have lived at this address?

Will you be moving soon?

If moving, Where?

If you move what will you do with the dog?

What year were you born?

E-mail Address

Occupation

Do you live in:

Suburban: Single

Double/Townhouse

Mobile/Trailer

City:

House

Apartment

Country/Regional

Home

Studio

Village Home

College Dorm

Do you:

Rent

Own

Whose name is the property listed in?

Name of Landlord

Landlord's Phone # include area code

How many adults living in your home?

How many children living at home?

Ages of children

Do any Grandchildren or other children come over?

How old?

Do you run a daycare in your home?

Does anyone in your home have allergies?

What Kind?

Is this dog for:

Gift

Companion

Breeding

Family Pet

Guard Dog

Hunting

My other pet's companion

Another family member

Where will the dog be kept during the day?

In the house

Outside

Basement

Garage

Crate

Kennel

Chained

Room

Where will the dog be kept during the Night?

In the house

Outside

Basement

Garage

Crate

Kennel

Chained

Room

Will the dog have the run of the house?

Number of hours the dog will be left alone.

How will you safeguard your new dog while you are away from home?

How will you housetrain and prevent destructive behavior while your new dog is home alone?

Who will care for your dog when you go on vacation or have an emergency?

Is your yard fenced adequately to keep your dog in and other dogs out?

What type of fence?

How tall is the fence?

Does the gate close and latch securely?

If you do not have adequate fencing how will you exercise the dog?

Who will supervise these outdoor activities?

Have you ever owned a dog before?

If yes, when?

What kind of dog?

Have you ever lost a pet (died)?

If yes, what happened to it?

What kind of pet was it?

How long did it live?

Have you ever had to give up a pet?

Why?

Have you ever brought an animal to the shelter?

If yes, why?

How many pets do you currently have living in your home?

Please List Them:

Pets Owned:

Breed Age How Long owned? Male/Female Neutered/Spayed

Do these pets get along with other pets?

Where did you get your pet(s)?

Name of Primary Veterinarian

If no vet type "none"

Phone Number include area code

It may take new dogs several months to adjust to a new family and a new home. Are you willing and prepared to allow this much time for him/her to adjust?

Are you willing to:

Use a crate?

Take time to work with a dog?

Have dog spayed/neutered if not already done?

Walk dog on a leash?

Go to obedience training?

Housebreak the dog?

Have a home check prior to or after adoption?

Do you believe in having animals spayed or neutered?

If your pet becomes lost or loose what would you do?

Why do you want this particular dog?

Are you aware of our policy that states you must contact us and return the dog to us if for any reason you cannot

keep it?

How did you hear about Saddleback Kennels?

By submitting this application I acknowledge that all the information contained in this form is true and correct to the best of my knowledge. I understand that any misrepresentation of facts may result in the removal of the pet from my home by Saddleback Kennels. All information acquired in this form will be kept confidential and is the property of Saddleback Kennels and will only be used privately by Saddleback Kennels in determining new homes for pets/companions.

Please download this file, complete and email to:

puppies@saddlebackkennels.com

or print and mail to:

Saddleback Kennels

1750 N County Line Road East

Lafayette, IN 47905-7573