Peanut Gallery Yorkies

Adoption Application

Only those families/applicants with COMPLETE Applications will be considered! 

 

So, to help ensure that the puppy you want to adopt is compatible with you as well as your home and lifestyle, we ask that you cut and paste a copy of our Adoption Application and EMAIL it to us.  Thank you for your cooperation.

 

Puppy Name Of Interest:                                                                                                              

 

Name:                                                                                                                                          

Address:                                                                                                                                       

City, State, Zip:                                                                                                                       __ 

Phone Number:                                                           

 

Work Phone Number:                                   

 

Best Time To Call:                                                       

Email Address:                                                            

 

How did you hear about us?                                        

 

Your Age:                                                     

Have you ever owned a Yorkshire Terrier?                  

Are you aware of the responsibility of owning a toy breed?                                                                 

 

Which puppy are you interested in?  _____Male _____Female _____Does Not Matter

Who will be responsible for the puppy?                                                                                              

Living Arrangement:  _____Own _____Rent _____Live With Family

 

If renting, does your Landlord allow pets?                                                                                          

 

Landlord's contact information (Name, Mailing Address, Phone Number) ?                                         

 

Do you have a fenced yard?                                         

 

Do you have children?                                                 

 

If so, what are their ages?                              

 

Do you have other pets?                                              

 

If yes, what breed, sex, and age?                   

Are your other pets spayed / neutered?                        

 

If not, why have you chosen not to spay/neuter it?                                                                              

 

Are they current on Vaccinations and Heartworm Preventative?                                                          

Will you spay-neuter?                                                  

 

If no, why would you not spay / neuter?                                                                                             

Please provide three references with names and phone numbers.  (If other pets are owned, one should include your Veterinarian.)

 

1.                                                                                                                                                      

 

2.                                                                                                                                                      

 

3.                                                                                                                                                      

 

Questions or Comments:                                                                                                                    

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