Puppy Application

Elk Mountain Newfoundlands
Dan And Kathy Webster
65452 Elk Mountain Road
Enterprise, OR 97828

CONTACT INFORMATION:
Name____________________________________ Occupation/Schedule_______________________
Spouse__________________________________ Occupation/Schedule_______________________
Address________________________________________________
City________________________ State________ Zip____________
Phone: _________________________ Best Time To Call:_________________________________
E-mail:__________________________________________________

PUPPY PREFERENCES:
1. I would like a: ______Male ______Female ______Either 2. Color Choice: _______

YOUR FAMILY/HOME:
1. Do you have children at home? Ages?
    _____________________________________________________
2. Do you have a fenced yard? ___ yes ___no
3. Where will your pup be housed?
    Please specify: _______________________________________________
4. How will your dog be exercised? ____________________________________________________________
5. Have you had previous experience with dogs as members of your family?
Explain: ____________________________________________________________________________________

MEDICAL NEEDS:
1. All Pet Pups (AKC Limited Registration) come with a written spay/neuter
agreement, will you alter (spay/neuter) your pup? ____________
2. Are you willing to provide the recommended diet/nutrition to aid in the
    proper growth/development of your pup? _____
3. Are you prepared to manage the health care costs of a dog including
    preventative and curative? _____________
4. If unable to care for the pup/dog, would you be willing to contact the
     Breeder and work together for a good placement or allow the Breeder to
    place the pup/dog for you?  Yes: ___ No: ___

Where did you hear about us?
_______________________________________________________

The information you share is voluntary and will not be disclosed to third parties.