Them following information is in consideration for a puppy from Smiling dalmatians
Name, street address,
city, state and zip, phone
number and email
address.
Please indicate your
preference, gender and
color. Is a patch or a blue
eye acceptable?
What activities are you
planning for your
Dalmation?
Conformation,
performance, breeding,
etc. List all that apply.
Are you willing to spay or
neuter?
Do you own/rent/lease
your home? If rent/lease,
please provide your
landlord's contact
information.
Do you have any
children living in our
home under the age of
18, either part time or full
time? If yes, please list
their ages.
Describe your yard (size,
type of fence,
shelter/structures,
shade, etc.)
Have you ever owned a
Dalmatian before? If yes,
please tell us about
him/her/them (ages, if
neutered. If deceased,
when why and did you
own at the time of death,
etc?)
Have you ever owned a
dog of any other breed
before? If yes, please tell
us about him/her/them
(ages, if neutered. If
deceased, when why and
did you own at the time
of death, etc?)
Have you ever
surrendered a dog to a
shelter or rescue
organization? If yes,
please explain.
Have you ever been
charged or convicted of
animal abuse or neglect?
If yes, please explain.
Please provide your
veterinarian's name,
address and phone
number.
How much time each day
can/will you spend with
your Dalmatian?
Describe where your Dal
will be kept when you are
away from home, st work,
out to dinner, etc?
Where will your
Dalmatian sleep?
Describe location,
bedding, etc.
Are you willing to attend
obedience classes?
Have you ever raised a
puppy?
Is anyone in your home
concerned with white
hairs on furniture,
carpets, clothing, etc?
Does anyone who lives in
or frequents your home
have allergies?
By indicating below I confirm that I am at least 18 years of age and that the above information is true and
correct to the best of my knowledge. I hold breeder harmless in the event that unfavorable information
discovered while processing this application.