First Street Breeders LLC

First Street Breeders Puppy Application

First Name *

Last Name *

Email *

Phone Number *

Street Address

City

State

Postal Code

Household Information *

OwnRent

If renting, landlord approval for a dog?

YesNoNot applicable

Do you have a fenced yard? *

YesNo

Current & Past Pets - Do you currently have pets? *

YesNo

If Yes, list species/breeds and ages: *

Have you owned a dog before? *

YesNo

What happened to your previous pets? (Still owned, passed away from old age, rehomed, etc.)

Puppy Preference - Breed Interested in: *

BernedoodleGolden RetrieverFrench BulldogFluffy French Bulldog

Gender Preference: *

MaleFemaleNo preference

Purpose of Puppy: (check all that apply) *

Family CompanionEmotional SupportShow/SportBreeding (requires approval)

Daily care & Lifestyle - How many hours per day will the dog be alone? *

Where will the dog stay during the day? *

InsideOutsideBoth

Where will the dog sleep at night? *

How do you plan to exercise your dog?

Veterinary Care - Do you have a veterinarian? *

YesNo

Are you willing to provide routine vet care, including vaccinations and wellness exams?

YesNo

Training & Commitment - Do you plan to: *

Crate trainPotty train (outdoors-potty pads-litter box)Obedience train

How do you plan to handle behavioral issues if they do arise? *

TrainingProfessional helpRehomingUnsure ("Rehoming" is not an automatic denial- honesty matters.)

BREEDER AGREEMENTS FOR BUYER *

I understand this puppy is a lifetime commitmentI agree the puppy will not be surrendered to a shelterI agree to contact the breeder if rehoming is ever necessaryI understand no puppy is guaranteed to be allergy-free or perfectI understand the breeder reserves the right to refuse placement

Additional information - Why is a puppy a good fit for your family at this time?

Anything else you'd like us to know?

SIGNATURE: I certify that the information provided is true and accurate. (Type name below) *

DATE: ex: MO/DA/YEAR *