The Dalmatian Heritage Project

Puppy Adoption Application from The Dalmatian Heritage Project

Please complete the below form to apply to adopt a puppy from one of our upcoming litters. You may also download and complete our printable form and mail to: The Dalmatian Heritage Project, P.O. Box 1, Hayward, CA 94541.

Applicant Information

Name

Street

City

State

Zip

Age

Home Phone

Cell Phone

Occupation

Household Information

Other members of your household:

Name

Age

Occupation

Name

Age

Occupation

Name

Age

Occupation

Name

Age

Occupation

Name

Age

Occupation

Other pets residing in your home:

Do you have a preference regarding the gender of your puppy?

Male Female No Preference

Why?

Do you have a color preference?

Black spots Liver brown spots No Preference

Have you ever raised a puppy?

Yes No

If yes, please list the breed(s) you raised and year(s) you raised them:

Please provide details regarding your prior experience as a dog owner.

Housing & Care Information

Do you rent or own your home?

rent own other

How long have you lived in your current home? List any other addresses you've lived at in the last five years. Briefly describe your current home and yard.

Is your yard completely and securely fenced?

Yes No

Do you have an enclosed kennel area?

Yes No

If yes, please specify the size of the kennel area.

width: length:

Who will be responsible for your dog's care? Who will train your dog?

Do you plan to take your dog to obedience class?

Yes No

How many hours per day will your dog be home alone?

Where will your dog stay when no one is at home? Where will your dog stay when you travel? Where will your dog sleep? Please describe your typical daily schedule. Please list your hobbies, other interests or things you would like us to know about yourself, your family or your household. Please list two references (e.g. veterinarian, friends, dog training instructor, etc.). Do you have any additional questions or comments for us?

In this section

Adopt a Dalmatian

Puppy Adoption Application from The Dalmatian Heritage Project