Family Pet Adoption Application Step 1 of 3 33% First Name*Last Name*Additional Household Members Name(s)Email PhoneAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Website How long have you lived at current address?Have you had the privilege of owning a Frenchie before? Yes No Do you have any other dogs currently? What kind are they? Are they spayed/neutered? Why or why not? Why do you want a Frenchie? Do you want a puppy with show potential or do you want strictly a companion dog? (Our show potential puppies are sold on co-ownerships to prevent irresponsible breeding or change of ownership.) All companion puppies are placed on a limited registration and must be spayed or neutered.What are your goals and expectations for the puppy whether it be for show potential or as a pet? Also, do you feel financially prepared for the care of a Frenchie? They will cost approximately $100 a month/$1200 a year, this includes feed, dewormer, heart dewormer, vaccinations, kennel, toys, supplements etc. That will be over $10,000 in his or her lifetime.If you are looking for a puppy that you could show, what experience, if any, have you had with dog showing? Do you enjoy owner- handling or do you use a professional handler? Describe any past experiences you have had with dog showing and your future plans.Where would the puppy spend his or her time days/nights? Inside or outside?Is someone home during the day at your house? Please describe the living situation for the puppy. How many hours daily would the dog be left alone? If no one is at home during the days would you plan for someone to come into your home to let the puppy in and out during the potty training stage? (A Doggy daycare if run properly can be an excellent choice for working new puppy parents as well.)Are there particular sex and/or color preferences of puppy preferred? Or did you already pick one of our puppies out? If you did pick out a puppy, what made you choose that particular puppy over another? Do you have children? What are their ages?If you have children, will your children be taught to play with the puppy with care? Do you understand the rules of Frenchie ownership? If not are you willing to take advice from Dream Valley if you purchase a puppy from us?Have you or any person in your household ever been convicted of animal neglect or animal cruelty?Czar Information on Pick up and payments: After filling this form out and being accepted we will make arrangements for pick up on Thursdays, Fridays or weekends only, shipping with airlines we do on Tuesday and Fridays. We stress to our new puppy owners that 9 to 12 weeks is the best time to acquire a Frenchie. If you send a deposit you will need to give a specific date for pick up. It cannot go past that date that you select for pick up more than a week, or you will forfeit your deposit or pay boarding fees up to $20 a day. If we are shipping puppy to you, the buyer will need to pay the cost of shipping and full cost of the puppy needs to be paid for before being sent by bank wire, money order, or cashier’s check. Checks sent will need to clear before the puppy will be sent. 5 to 7 days is normal for it to clear. If you are using your credit card you can use paypal for full payment. (There is a 3.75 percent paypal fee that is added to the purchase/adoption of the puppy.) Health certificate, and second or third shots will be done 8 to 10 days prior to shipment. We do not want your puppy to have stress of shots and shipping at the same occurrence. So we do the vaccines earlier. In certain scenarios, we will drive part way to transition your puppy, you can pay the balance at pick up with cash ONLY. No checks in this case, only cash payment.Any comments or suggestions to give you and your family a better adoption experience is appreciated.
