Application Form

Application Form

By submitting the information requested on this form, you are promising that all information is correct and true,

Your answers on this application will help us to make the best possible puppy match between you and a Kappadane Puppy. The more we know, the more confident we can be that your new addition will be successful. It is very important that this application be completed fully and truthfully. While we regularly make allowances for a wide range of conditions, we do want to match up the best puppy for different situations.

Your first and last name:
Street address:
City/State/Zip:
Home phone:
Email address:
Occupation:
Employer:
Work phone:
Who is your Veterinarian?
Veterinarian's phone:
Do you own or rent your home?	Own Rent
If you rent, have you paid the pet deposit ?	Yes No
Are you planning on moving soon ?	Yes No
Is someone home during the day?	Yes No
Where will the your puppy stay during the day?
Is there someone home at night?	Yes No
Where will the puppy stay at night?
How long do you plan to keep this puppy ?
How long have you been thinking of having a Great Dane puppy ?
Who is this pet for?
Does anyone in your home have allergies ?
Have all adults in the house agreed to have this puppy ?	Yes No
Do you have a fenced yard ?	Yes No
Have you obedience trained your dog	Yes No
Do you have a trainer ?	Yes No
Have you crate trained your dog ?	Yes No

List the dogs &/or cats you have had in the past 5 yrs or presently have.

Years Owned	Breed	Pet Spay/Neutered?	Where was this animal kept ?	Do you still have the pet?	If not, what happened to him/her?
		Yes No	InOut Both	Yes No
		Yes No	InOutBoth	Yes No
		Yes No	In Out Both	Yes No
		Yes No	In Out Both	Yes No
		Yes No	In Out Both	Yes No

Are any pets you still have current on their vaccinations ? Yes No

Will any children live with the puppy? Yes No

How many and what ages?

Please check which items would cause you to return this puppy ?

Allergies Moving Change in marital status Graduation New Baby Destructive behavior

Aggressiveness Vacation plans Vet Bills Housetraining Job change

Not getting along with current pets

Please check all the reasons why you are wanting this pet ?

My Companion Show puppy Current pet's playmate Children's playmate

Is there anything you would like to explain to us, anything else you would like to tell us, or anything you would like to ask us?

By clicking the SUBMIT APPLICATION button you are certifying that all your answers are true and correct.

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