Puppy Application Form/Contact Us

Address *

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City

State

Zip Code

Country

Are you interested in a male or female puppy? *

Why are you interested in a specific gender? *

Would you consider the opposite sex if it is a better match for your family or we are unable to provide *

yes no maybe

What do you expect the activity level of the Yorkshire terrier to be: *

Names and ages of all people (adults; children) living in your household *

Size Preference *

4-7 pounds 7 pounds and over Under 4 pounds

Who will be the primary care giver? *

What is your current employment status? *

Why is a Yorkie the right breed for you ? *

Do you ..... *

If you rent please list your Landlord Name and Phone Number: *

Do you own other animals *

Dogs Cats Other

Have you ever owned a dog? If so, what breed(s): *

Do you still have the dog(s)? If yes how will he/she/them adjust to a new puppy) *

Have you ever had to euthanize a dog? If so, why *

Have you ever had to take a dog to a shelter or pound: If so, why *

Have you ever returned a pet to the breeder? If so, what were the circumstances? *

What circumstances, in your mind, justify getting rid of a dog? *

If you own a dog or cat please list their breed, weight, spay & neuter info *

Do all family members want a yorkie? *

How did you decide that you wanted a Yorkie? *

If you are purchasing a pet/companion dog, will you agree to sign a contract stating that the dog is to be spayed/neutered and will not be used for breeding purposes? *

Yes No Would like to breed

Have you ever raised a litter of puppies? If so, what *

Are you looking for AKC/UKC papers *

Yes No Looking for another registry

With regard to grooming, please complete the following: I think yorkies require *

Do you like to brush a dog? *

Will there be someone available to feed and exercise the puppy during the day? *

Previous dog training (if applicable) *

I personally trained my dog personal trainer trained my dog I took my dog to puppy classes I train for Conformation/Agility/ Other I do not believe training is needed

When traveling how will the puppy be restrained? *

Car seat Seat Belt Strap Kennel Lap

How long are you willing to wait to obtain this puppy ( months/weeks) *

The annual cost of care for the dog is $ 500-$ 1,000 is this an expense you are willing and able to undertake? *

Yes No Maybe

Please Provide 3 References and their phone numbers that I can contact that can give you a good reference. *

If applicable please provide your Veterinarian's name and phone number *

How did you learn about YorkiesKisses? *

Please tell me a little bit about what you are looking for in a yorkie, and what type of activities you would likely be pursuing (coach potato, jogging companion, a buddy for the kids, etc.): *

Describe your personality and your family’s *