Name/Both if married _______________________________________________

Street _____________________ City ____________________ State ____

Zip ________

Home Phone____________ Work Phone____________________

Cell Phone____________________ Best time to phone you if necessary ______

Email ___________________________________________________________

How do you prefer to be contacted? Phone _____ or Email ______

Do you currently have a veterinarian?   ____Yes  ____No

If no, what are your plans for finding a vet?_______________________________________________________________

May we contact your veterinarian for a reference?  ____Yes  ____No

Veterinarian name _________________________________________

Address ___________________ City _________________ St _____ Zip _____________ Phone____________________

How did you hear about Rosewood Kennel? ________________________________

What is your occupation? ________________  Do you have a spouse or life partner, what is their occupation?__________

Do you live in a house____ Apartment _____ Condo_____ Country____.

Do you own or do you own or rent?____________________________________

Do you have a yard? If so, is it fenced?_________________________________________________________________

If you have children living at home, what are their ages? _____________________

Does anyone in your home have allergies? If so, please tell us about their allergies?____________________________

__________________________________________________________________________________________________

Please tell us about the special needs of anyone in your household. _________________________________________

__________________________________________________________________________________________________

Please tell us about your family life and life style. ________________________________________________________

__________________________________________________________________________________________________

Have you ever owned and raised a puppy? If so, please tell us about your experience. __________________________

__________________________________________________________________________________________________

Does everyone in your home want a puppy?  _______________________________

Do you have other pets at home? If so, please tell us about them.  __________________________________________

__________________________________________________________________________________________________

If you have a dog now, please tell us about your dog's daily routine. ___________

What arrangements will you make for your puppy when you are at work or away from home? _____________________

__________________________________________________________________________________________________

Where will your puppy sleep at night? ______________________________________

Will your puppy be an inside or an outside dog? _____________________________

Will you take your puppy to obedience class? _______________________________

Have ever had to place a pet in a shelter? If so, please tell us when and why. _________________________________

__________________________________________________________________________________________________

Should you find yourself unable to care for puppy at any point in time, we request that you notify us so that we may

assist you in rehoming the dog. Do you agree to this? YES____NO _____

Have ever had a pet put to sleep? If so, please tell us when and why. _______________________________________

__________________________________________________________________________________________________

What is your coat type preference? Do you prefer Wavy, Straight or Curly?

Do you prefer: Male ___ or Female___ or are you open to either gender? YES___ NO___.  Please explain.

***Please note that we cannot guarantee that we will have the sex of the puppy you want. In this case we will offer you

another puppy from the same litter, a refund of your deposit, or pick of the next available litter.

What size puppy do you prefer? Standard 50-65 lbs ___ Miniature 20-35 lbs. ___ Mini Teddybear 40-50 lbs. _____

Teddybear 55-75 lbs ____. Medium Minis 40-50 lbs. ____ While these are normals for dog sizes, please understand that your dog could be smaller,

or larger than the stated sizes. This is beyond our control. We simply give you our best guess based on parent sizes

and past litters.

What temperament, in a puppy would fit well with your family? _______________________________________________

Our puppies should be Chalk (White), Cream, Apricot, Apricot Cream, Red, Blue Velvet or Chocolate.  We will try to tell

you the expected colors of each litter however, Mother Nature does not always cooperate, and there are no guarantees.

Please tell us your first two color choices. ____________, _____________. Will you accept another color if your choices

are not available? _____Yes  _____ No

Is there a color you will not accept? If so, what color? _________________

If we do not get a color you want do you wish to wait for the next litter or will you consider another

possible color?_____Yes  _____ No

Would like to tell us anything else or provide any other information you would like us to have, or consider. _______________________

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

Date of Application _________________________

THANK YOU!

Rosewood Kennel, 2056 60th Ave NW, Montevideo, MN  56265