Gray Cloud Farms - Red Cloud and DeGray Kennels

Puppy Application

Please fill out the form below to apply.

Full Name*

Email Address*

Phone Number*

Physical Address*

Current Employer*

Names and ages of everyone who lives in the home.*

If there are young children in the home, have they been exposed to dogs? *

Yes

Was their reaction positive and confident?*

Yes

Who will be the main caregiver of the puppy?*

Is there anyone home during the day?

Do you own your home or do you rent? If you rent, please provide an approval letter from your landlord, please be sure they include their phone number. **Please contact your landlord PRIOR to submitting this application.***

Rent

Own

Is your yard securely fenced-in?*

Yes

If not, how do you plan on keeping the dog in your yard and contained?

Have you owned a dog before? If yes, what breed(s)? *

Please list Other Pets/Animals Currently in the Home/on the Property: *

Have you ever had to re-home or relinquish a pet to an animal shelter or have you ever had a puppy/dog repossessed from your ownership?*

Yes

How much time can you devote to training? Who will train your dog?*

What food do you feed your pets?*

Are you willing to provide NuVet Vitamins for the lifetime of your new puppy?*

Yes

What kind of temperament are you looking for?*

What gender do you prefer?*

Male

Female

Flexible for the right puppy

List you current veterinarian’s information:

Please let us know the purpose of the dog:

Companion

Performance

Show/Breeding

4-H/ Jr. Showmanship

Service/ Therapy

How did you hear of us or who referred you to us?*

Will said puppy need to be shipped or will you be picking up? *

List TWO References (Non Family) Preferably Dog Related.*

What Breed are you interested in?

Australian Shepherd

Great Dane

Bulldog

Chinese Shar-Pei