Puppy Application Name * First Name Last Name Email * Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Do You Rent or Own Your Home? * Rent Own Which Breed Are You Interested In? * Dalmatian Corgi Gender Preference? * Male Female Undecided When Would You Like To Get A Puppy? * Will You Need Your Puppy Shipped? * If yes, please let us know if you prefer ground or air transportation? What Is Your Closest International Airport? * If you will not need flight nanny service, then please put "N/A" What are the Names & Ages of Everyone in Your Household? * Do You Have Any Other Pets? * If yes, please list their name, age, breed What is a Typical Day Like in Your Household? * How long will your puppy be alone, how much exercise will you provide, etc? Are You Willing to Spay/Neuter Your Puppy? * All of our puppies come with a spay/neuter contract and limited registration unless breeding rights are approved Yes No Not Sure How Did You Hear About Dalmatians & Co? * What is Your Primary Reason for Filling Out an Application? * Questions or Comments? * Thank you!