NAME                                                                    PHONE

ADDRESS

CITY                                             STATE                                   ZIP

EMAIL

DO YOU HAVE CHILDREN?
If so what ages?

EVER OWNED A DOG?
What sex?Spayed/neutered?

STILL OWN?                                                IF NOT, WHY?

Other Pets?  What Type?

Is someone home during the day?
If not, who will care for pup while you are at work?

Who will care for pup if you are on vacation?

ARE YOU WILLING TO TRAIN YOUR PUP?
HOW?

VET REFERENCE
Name
Address
Phone
Website

Three personal references
Name
Address
Phone
Email

Please e-mail this application to:  candi0120@gentlegiantsinc.org

This is only a screening application.  If approved all paperwork will be dealt with at the time of the adoption!