Puppy Application – Riversbend Kennel

Name

Cell #

Email

Address

City

State

Zip

Employer:

1. Do you have children? Ages?

2. Do you have any other pets? Please tell us about them:
   

3. Have you had other dogs in the past? Please tell us about them:
   

4. Please tell us about your home. Own/rent? City? Country?
   

5. Size of yard? Is it fenced?
   

6. Will the dog be primarily indoor or outdoor?
   

7. Preferences – Male/ Female? Color
   

8. Tell us about yourself, your family, lifestyle, etc... and tell us why you think a Riversbend Golden or Doodle is the right fit for your family:
   

9. Is there anything else about yourself you’d like us to know?
   

10. How did you hear about Riversbend Kennel?
    

Signed:

Date: