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As a breeder I have the responsibilities that include limited breeding of healthy, sound dogs. Breeding with the goal of improving the Dalmatian breed. Placing my puppies in responsible homes and doing my best to prevent unwanted dogs from going to a shelter or living in an abusive or neglectful environment. One way in which I facilitate the above is to ask my potential puppy families to complete this application. Thank you for your assistance! Thank you for filling out the form. Please hit the submit button and I will respond to you quickly.


Street Address*

City, State & Zip Code *



How many adults are in your household and your ages?

Do you have children and what are their ages?

Who will be the dogs primary caregiver?

How many hours a day will the dog be alone?

Will there be someone who can exercise the dog during the day

Have you ever had a Dalmatian / dog before?

Select an option

If yes, do you still have the dog and if not, what happened?

Do you own your home or rent? If rent, are you permitted to have a pet?

Do you have a fenced yard?

Select an option

If no, how will the dog be confined when outdoors?

Do you have other animals? Explain

Why are you interested in a Dalmatian?

Please check all that apply.

Have you ever returned a pet to the breeder?

Select an option

Have you ever given a pet away?

Select an option

Have you ever turned a pet over to a shelter or rescue organization?

Select an option

If you answered yes to any of the 3 questions above please explain the situation.

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