Name: Address: City: State: Zip code: Home Phone: Work Phone: Cell Phone: Email: Do you own a Dalmatian at this time? Have you owned a Dalmatian in the past? What other pets do you own? Please tell us about your family; i.e. members and their ages, occupations, activities etc. What gender puppy do you prefer? Male Female Are you willing to spay or neuter your puppy? Yes No What are your plans for a Dalmatian; i.e. companion, performance, etc. How much time each day will you be able to spend with your puppy? How much time each day will your puppy be left alone? Do you have shade and or shelter in your yard? Please describe. Where will your Dalmatian sleep? Are you a member of any kennel clubs? If so, please list them. Have you ever surrendered an animal to a shelter? : Yes No Is your yard fenced?: Yes No Do you have any references we can contact? May we contact your veterinarian?
Please tell us about your family; i.e. members and their ages, occupations, activities etc.
