Puppy Application Form
Your Name:
Address:
Phone: Email:
Explain why you want to add a Dalmatian to your family:
Please select gender of puppy you are interested in: Male Female no preference
Please select type of puppy you are interested in: Pet Show Obedience Performance All of the Above
Color preference (if any): Black Liver no preference
Do you currently, or have you owned Dalmatians before? Yes No
If yes, please describe:
How old are they? Where did you buy them from? If deceased, what did they die from?:
Have you owned any other breeds of dogs before? Yes No
Have you owned other pets before: Yes No
Do you have any children? Yes No Plan to in the future
Tell us about your family - spouse, signigicant other, children (ages, hobbies, activities):
Are all family members in agreement about your decision to acquire a puppy? Yes No
Have you ever surrendered a dog to an animal shelter? Yes No
Is your yard fenced? Yes No
Does your yard have shade? Yes No
What type of containment will you provide for your Dalmatian (kennel, yard, run, fence, inside home, crate, etc)?
What environment will your new puppy live in (inside, outside, both)?
How much time will you be able to spend with your puppy each day?
Are you aware of the potential health problems associated with Dalmatians?
What kind of food will you feed your Dalmatian? Are you aware of the problem of high "purine" foods causing urinary stones in Dalmatians?
Who is your vet and do I have permission to contact him or her? How frequently do your dogs see the vet?
Please take a moment to tell us a little about yourself and your plans & goals for a new puppy.
Are you a member of any dog clubs? If yes, which clubs?
Do you have any references that I can contact? (People in dogs, preferable not relatives.)
Will you take your puppy to basic obedience classes? Yes No
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 outside during the day?
Where will your new Dal sleep?
Will you crate train your new Dalmatian?
How will you exercise your Dalmatian?
Does anyone in your household have allergies? Yes No
What is the decor of your house? Black & White or Liver & White tweed is preferable when you own a Dalmatian. Are you prepared to live with little white hairs stuck to everything? Yes No
Any additional comments or questions for us?
Thank you for filling out our application form. Please click on the submitt button below.