PUPPY APPLICATION - Royal and Loyal Lagotto Romagnolo - Carla Sandrinelli

Personal Contact Info – Name

First

Last

Email

Phone number

Do you prefer to be contacted through email or phone call/text ?

Email
Phone
Text

Address

City

State

Country

Occupation

Co-Applicant

First

Last

Co-Applicant Occupation

Home Environment – Own or Rent

Own
Rent
Other
Prefer not to say

I currently reside in a(n):

I live in:

a major city
the suburbs
a small town
the countryside

Is your property fenced?

Yes
No
In progress
Not applicable

Family Details – Number of Adults

Family Details – Number of Children

Family Details – If there are children in the home or if there will be children around the dog, please list their ages.

Family Details – If there are no children in the home, do you expect to have children or small children around at any time?

Yes
No
Not Sure

Family Details – Number of Dogs

Family Details – Number of Cats

Family Details – Other pets

Do you have a person in your home that is:

Elderly
Disabled
Special Needs
Not Applicable

Does anyone in the household have any pet allergies?

Yes
No
Not sure

Although many people with allergies do well with the Lagotto, there are no guarantees that allergy sufferers will not be affected. Potential owners should meet a Lagotto before making a final decision.

Dog Interest – I am interested in:

Dog Interest – Coat Color Interest

We will try and give your coat preference, but we try to match the puppy to the owner based on lifestyle and temperament wants first.

Dog Interest – Training Goals

Experience with Dogs

Beginner
Intermediate
Advanced
Expert

Temperament and Lifestyle – The mailman or someone knocks on your door with a package delivery. I want my dog to:

Temperament and Lifestyle – Describe what your perfect dog would be?

Temperament and Lifestyle – Describe your activity level

Temperament and Lifestyle – My dog will spend most of his/her time:

delivery puppy

Temperament and Lifestyle – How many hours a day will the dog normally be left alone at home

Temperament and Lifestyle – Are you willing to crate train your dog?

Temperament and Lifestyle – Are you willing to license the dog and keep it properly identified?

Temperament and Lifestyle – Are you willing to have your dog examined by a veterinarian at least once a year?

Temperament and Lifestyle – Are you willing to keep the dog up to date on all its shots, screen for heartworm & use heartworm preventative, if indicated by your area veterinarian?

Temperament and Lifestyle – Are you willing to provide us with updates on the puppy such as training progress, health test results, and overall well being? *

Temperament and Lifestyle – Are you willing to provide the dog with the right amount of physical and mental exercise and socialization? and

If necessary, are you willing to pay delivery charges for the puppy or pick the puppy up? (I do not ship puppies; however, I am willing to deliver to the main Airports in Oregon. (Delivery charges include travel to and from airport or delivery in all the state of Oregon)

Why do you want to adopt a puppy from us?

Reference nr 1 – Please list three references and their contact information. If you have a veterinarian, please list the veterinarian and two other references.

First

Last

Reference nr 1 – Phone

Reference nr 1 – Email

Reference nr 2 – Name

First

Last

Reference nr 2 – Phone Number

Reference nr 2 – Email

Reference nr 3 – Name

First

Last

Reference nr 3 – Phone Number

Reference nr 3 – Phone

Reference nr 3 – Email