Guardian application

Your full name

Your email

Your mobile phone number

Street Address

City, State and Zip Code

Number of children at home:

What are the ages of your children? If no children at home, put N/A.

Does anyone in your immediate family suffer allergies to dogs?
YesNo

Do you own your own home or is it a rental house?
OwnRent

Do you have other pets?
YesNo

What are the types, breeds and ages of your pets? If no pets, put N/A.

Briefly describe your home and family life.

PREFERENCES & RESPONSIBILITIES:

Desired size of a guardian puppy when full grown

Desired Gender:
malefemaleeither

Desired coat or color

Do you have experience in raising a puppy?
yesno

Do you have experience in raising an intact dog (not neutered or spayed)?
yesno

Do you have a fenced yard?
yesno

Do you live within a 120-mile radius of Spokane, WA?
yesno

If not, are you willing to travel to deliver the guardian dog for breeding & whelping?­­­
yesno

Will someone be at home with the puppy for the majority of each day?
yesno

Do you agree to feed a premium food approved by KennyBear Doodles?
yesno

Will you be willing to obedience train and socialize a puppy?
yesno

Do you agree to provide routine veterinary care?
yesno

REFERENCES:

Personal Reference#1: (Name and Contact Information)

Personal Reference#2: (Name and Contact Information)

Vet Reference (Name and Contact Information)­­­­­­­­­­­­­­­­­­­­­­­­­­­­

Please let us know if you have any questions about the guardian program, or have additional information you want to add about your family (optional)

I certify that the information provided on this form is true and correct.

I am also financially and physically able to care for this animal.

I understand that proper food and veterinarian care can be costly and I am able to meet these requirements.

• By checking the box and signing below, I acknowledge that I have completely read this questionnaire, and understand it fully.
I accept these terms.

Your Full Name

Today’s Date