The following information is provided in consideration for a puppy from Smiling
Dalmatians.
What activities are you planning for your Dalmatian?
Conformation, performance, companion, breeding, etc. List all
that apply.
Have you ever been charged or convicted of animal abuse or
neglect?
If you rent/lease, please provide your landlord's contact
information.
Do you have children living in your home under the age of 18, either full time or part
time?
Describe your yard (size, type and size of fence, shelter/structures, shade,
etc.)
If yes, please tell me about him/her/them (ages, if neutered. If deceased, when, why and did you own at time of
death, etc?)
Have you ever owned a dog of any other breed
before?
If yes, please tell me about him/her/them (ages -neutered. If deceased, when, why and did you own at time of
death, etc?)
Please provide your veterinarian'sname, address and phone
number
Have you ever surrendered a dog to a shelter or rescue
organization?
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, at work out to
dinner, etc?
Where will your Dalmatian sleep? Describe location, bedding,
etc.
By indication below I confirm that I am at least 18 years old and that the above information is true and correct to
the best of my knowledge. I hold breeder harmless in the event unfavorable information is discovered while
processing this application.
Does anyone who lives at or frequents your home have
allergies?
Is anyone in your home concerned with white hairs on furniture, carpets, clothing,
etc?
Name(s)
Street
Address
Zip
State
City
Home Phone
Work
Cell
Email Address
Please indicate your puppy preference
Color
Is a patch acceptable?
Gender
Are blue eyes acceptable?
Are you willing to spay or neuter?
Please tell me about yourself
If yes please
explain:
Do you own/rent/lease your home?
Have you ever owned a Dalmatian before?
If yes, please explain
Are you willing to go to obedience classes?
Have you ever raised a puppy?
Consent/agreement