We DO NOT ship. PLEASE, do not ask me to ship a puppy to you! All pups are picked up in person by the Buyer, but for health and temperament , first and foremost! Color is the
INSTRUCTIONS: Please answer the following questions completely and submit this form when done. THANK YOU
NAME:
Address:Street
City, ST Zip
Phone #'s I can
EMAIL:
Occupation:
FULL TIME
PART TIME
STAY AT HOME PARENT
WORK FROM HOME
NOT APPLICABLE
FULL TIME
PART TIME
STAY AT HOME PARENT
WORK FROM HOME
Spouse Occ:
What are you interested in?
Are you interested in a Male or Female, or no preference?
Male
Female
NO Preference
What is the time frame you are looking at getting a new puppy? Please be aware that
Immediately
In the Next 6 months
In the next year
No time frame
NO
YES
Are you looking for a dog you can breed?
If you answered yes to the above question, please find yourself another breeder . spayed/neutered.
Will you provide me with your veterinarians name and number for a reference?
Are you knowledgeable about the Brachycephalic Breed's needs and limitations?
YES I am
NO I am Not
Would like more info
Please tell us more about yourself?
How did you hear about us?
Why would you like to own a French Bulldog over other dog breeds?
What type of dwelling would you be living in with a French Bulldog? (House, Apartment, etc)
Do you have a fenced yard? If so, what kind of fence, like chain link, brick, cedar, privacy
Do you have a pool?
No
Yes with no Fence
Yes, with a Fence around it
Are you aware that French Bulldogs are housedogs, and need both A/C and Heat. Can you provide this?
YES
NO
Who will be the primary caregiver for this dog?
Do you intend to enroll this pup in any training classes to properly socialize him/her with other dogs and people?
YES
NO
Do you or any member of your household have any allergies to animals, what type and how severe?
Have you, or do you own any other animals? Dogs? Cats? How many, what breed, ages, what sex?
Have you ever returned a dog to a breeder, or surrendered one to a shelter
Who are the members of your household, adults, children and what ages?
How many hours a day will this dog be left home alone?
If left home alone for MORE THAN 4 hours, will anyone be able to feed, water, potty and exercise the dog during the day?
Where will the dog be kept during the day when nobody is home with it?
Where will the dog be kept at night?
ADDITIONAL Information you'd like to add:
Please tell us any more about yourself, and your family and home environment that you think we should take into
Thank you for taking the time to fill out my application. Please check and make sure that all your info in entered
LEGAL NOTE: Please be aware that by submitting this application to us that you are legally stating that all of
Kathi Liebe 303-746-1601 starcreekfrenchies@gmail.com
