The Robinson Yorkies Puppy Application

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Email *

Do You Understand That This Puppy Application Does Not Guarantee That You Will Be Able To Purchase A Puppy? *

Yes

First and Last Name *

Street Address *

City, State, Zip Code *

Phone Number *

If You Need Delivery Out Of State, What Airport Would You Like To Meet At?

How Did You Hear About The Robinson Yorkies?

If Other, Or Another Breeder, Please Let Us Know Who To Thank

Desired Timeframe To Get A Puppy *

Do You Rent Or Own Your Home? *

Rent

Own

If You Rent, Does Your Landlord Allow Pets? *

Yes

Unsure

Do You Have A Yard? *

Unfenced

Fenced

No Yard

Please List The Ages of Any Children In The Home *

Do Any Members Of The Family Suffer From Allergies To Dogs? *

Yes

Unsure

Are There Any Other Pets In The Home? If So, Please List How Many, Type (Dog, Cat, Bird, Fish, Etc.) and Breed For Dogs *

Will This Be The Family's First Puppy? *

Yes

First Puppy, But Not First Dog

Are You Purchasing This Puppy For Someone Else?

Yes, They Are Aware

Yes, It Is A Surprise

Clear selection

Are You Purchasing This Puppy For An Adult or Child? *

Adult

Child

Is There Anyone In The Home That Does Not Want A Dog Or Unsure About Getting One? *

Yes

Unsure

If You Have Other Pets, Do You Have A Current Veterinarian? *

Yes

Veterinarian Name And Phone Number

May We Contact Your Veterinarian For A Reference? *

Yes

Does Not Apply

Have You Ever Re-Homed A Pet? *

Yes

If You Have Re-Homed A Pet, How Many And What Was The Reason(s)?

Are You Aware Of A Yorkie's Grooming Needs? *

Yes

A Little

Are You Aware That Yorkie's Change Colors Throughout Their Life? *

Yes

What Gender Would You Like? *

Female

Male

No Preference

Are You Willing To Accept A Puppy Regardless of Gender and Weight If One Becomes Available? *

Yes

Are You Aware That Our Yorkies Are Usually Between 5 and 10 Pounds Full Grown Right Now And That We Can Not Guarantee Final Size? *

Yes

Please List The Qualities You Are Looking For In Your Puppy. *

Please Tell Us A Little About Your Home Environment To Best Help Selecting A Puppy That Will Fit (Quiet, Busy, Etc.) *

Are You Aware That Having A Yorkie Puppy Is Like Having An Infant/Toddler Around? *

Yes

Are You Able To Commit The Time And Dedication Needed To Help Train And Raise A Puppy? *

Yes

Maybe

Will Your Puppy Be Alone During The Day? If So, Approximately How Long? *

Do You Understand That A Puppy Needs Frequent Potty Breaks Throughout The Day And At Night (Approximately every 1/2-1 Hour Starting Out)? *

Yes

Are You Aware That The Quality Of Dog Food Is Directly Related To The Health Of Your Dog? *

Yes

Are You Prepared To Feed A High Quality Dog Food For The Life Of Your Dog (Prices Are Usually Around $13+ For A 4 Pound Bag)? *

Yes

Are You Interested In Raw Feeding, Which Is The Best Choice For Your Dog? *

Yes

I Would Like More Information

Do You Understand That Breeder Must Be Contacted For Any Reason You Are Not Able To Keep Your Dog And You Are Not Able To Re-home Or Surrender The Dog To Anyone Else, Including Pet Stores And Animal Shelters? *

Yes

Do You Understand That Your Dog Must Not Breed And That There Is A Spay and Neuter Contract? *

Yes

I Confirm My Intention To Purchase A Yorkshire Terrier (Yorkie) Puppy From The Robinson Yorkies. By Typing My Name In The Box Below, I Agree That I Have Answered All Questions Above Honestly. I Also Understand That This Application Does Not Guarantee That I Will Be Approved To Purchase A Puppy. *

I Agree

I Disagree

Electronic Signature *

Date *

YYYY

Send me a copy of my responses.

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