Puppy Application Form This is the first step in the adoption of your new little family member! Please read my Puppy Contract before you fill out this puppy application. If you have any questions before filling out the form, please reach out using the contact information at the bottom of the page.(I only sell puppies in the US not including Hawaii.) Yay! You’ve decided to go for it, and I’m so glad you’re here! Read Puppy Contract Contact Info Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone * (###) ### #### What time of day would you prefer to be contacted? Morning Afternoon Evening No Preference How did you hear about Mini Mountain Puppies? * How soon are you hoping to get a puppy? * Puppy Requests Male or Female Puppy? Male Female No Preference Color Preference? Classic Tri-colored Blonde/white General Info Will this be your first puppy? Yes No If yes, what is your experience with dogs? Does everyone in your household want a new puppy? Yes No Does anyone in your family suffer from pet allergies? Please explain: Age of applicant: Is your household blessed with children? Yes No Is your household blessed with other dogs or other pets? Yes No If yes, please list the type of pet, breed of dog, and age of each one: Do you have a fenced in yard? Yes No If no, do you have a plan to safely exercise the dog and a place for him/her to potty? Please explain: Will the puppy be home alone for the majority of the day? Yes No If yes, do you have a plan to give the dog exercise and potty breaks midday? Yes No Are you aware of and committed to the time and energy it takes to care for a new puppy? Yes No I'm not sure Do you have the means to financially care for a new dog? (Puppy price, vet checks, vaccines and heartworm medications, crate and bedding, quality food, grooming supplies, etc.) Yes No I'm not sure Are you committed to caring for the dog for the entirety of his/her life? Yes No I'm not sure I sell my dogs only as pets. Do you agree not to breed your Mini Mountain dog? Yes No Do you have a Veterinarian that you have used before or plan to use for your new dog? What is the name and phone number of the clinic? If you have used that Veterinary clinic before, may I use them as a reference? Are you committed to properly training your puppy, and seeking professional help if any concerns arise? Yes No Here at Mini Mountain, we require that in the event of being unable to keep your dog, you return him/her to us-- at any age. Our purpose in this is to keep all Mini Mountain Dogs out of shelters or anywhere else that he/she is not wanted. If you have the perfect new home for the dog, we will work with you on that. We would then be in communication with the new owner about our return-at-any-age policy. We will always take back any Mini Mountain dog on a surrender basis and with no extra cost to you, save the expense of transporting the dog back to us. Transportation cost will be the responsibility of the surrendering owner. Do you agree to communicate with Mini Mountain first if you can no longer keep your dog? * Yes No Final Section Reference 1: (Name, phone number, and relationship) * Reference 2: (Name, phone number, and relationship) * I have answered all questions honestly and to the best of my ability. I also understand that Mini Mountain Puppies reserves the right to sell to me in light of any answer. * Agree I have read the puppy contract thoroughly and agree to the terms. * Agree Signature * Thank you for your application! I will be in contact with you as soon as possible regarding puppy reservations and a deposit.