Adoption Questionnaire | Dog Harmony, Inc.

(850) 376-4190

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Your information:

First Name *

Last Name *

Email Address *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Do you own or rent? *OwnRent

Phone Number *

About your household:

Have you owned a dog before? *Yes, but not currentlyYes, I currently have a dogNo

What kind of dog do you currently have? *

Dog's Weight in Pounds: *

Dog's Age *

Do you have children or elderly people in the household? *

NoChildren under 8yrsChildren 8yrs and olderElderly

Do you have cats or other animals in the household? *

NoCatsOther

What other animals are in the house? *

My dog will primarily be: *An indoor dogAn outdoor dog

How many hours a day will your dog spend outside? *

How many hours will your dog spend alone each day? *

When I'm gone my dog will be: *In a crate in the houseLoose in the houseIn the yard

When I am home I want my dog to be by my side: *The majority of the timeSome of the timeI don't want my dog by my side

What kind of collar/harness will your dog use? *HarnessSimple leash and collarPinch collar

Please let us know the kind of dog you are looking for:

I want a guard dog: *YesNo

I want my dog to hunt or heard with me: *YesNo

I want my dog to be enthusiastic in the way it loves people: *VerySomewhatNot at all

I want my dog to be playful: *VerySomewhatNot at all

I want my dog to be laid back: *VerySomewhatNot at all

I am comfortable doing manner correction training: *VerySomewhatNot at all

I want to participate in Agility, Flyball, or Obedience classes with my dog: *YesNo

I'm interested in a dog with special needs (medical or behavioral): *YesNoPossibly

It is most important to me that my dog: *

Please prodide us with current or former veterinary clinic information:

Veterinarian's First Name

Veterinarian's Last Name

Clinic Name

Clinic Phone

Please provide two personal references:

First Name *

Last Name *

Phone *

Relationshp *

First Name *

Last Name *

Phone *

Relationshp *

About

237 Market Street, Santa Rosa Beach, FL 32459

(850) 376-4190

Mon - Sun: 8AM - 8PM

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Email Address *

Sign Up for a Loose Leash Clinic

Your Information

First Name *

Last Name *

Email Address *

Phone *

Choose a session *February 5thFebruary 15thPlease choose one session

Dog's Name *

Dog's Breed

Dog's Age

Dog's Weight

Veterinary Information

First Name *

Last Name *

Your Vet's Phone Number *

Has your dog been spayed/neutered? *

YesNo

Has you dog been around other dogs? *

YesNo

Training Information

Has your dog had training before? *

YesNo

Where has your dog had training and what classes have they attended? *

Payment

Payment Options *Pay NowPay First Day of Class

Please do not fill in this field.

Cancel and Close

Syds Test Form

Your Information

First Name *

Last Name *

Email Address *

Phone *

Dog's Name *

Dog's Breed

Dog's Age

Dog's Weight

Veterinary Information

First Name *

Last Name *

Your Vet's Phone Number *

Has your dog been spayed/neutered? *

YesNo

Has you dog been around other dogs? *

YesNo

Training Information

Has your dog had training before? *

YesNo

Where has your dog had training and what classes have they attended? *

Payment

Payment Options *Pay NowPay First Day of Class

Please do not fill in this field.

Cancel and Close

Sign Up for Hound About Town

Your Information

First Name *

Last Name *

Email Address *

Phone *

Dog's Name *

Dog's Breed

Dog's Age

Dog's Weight

Veterinary Information

First Name *

Last Name *

Your Vet's Phone Number *

Has your dog been spayed/neutered? *

YesNo

Has you dog been around other dogs? *

YesNo

Training Information

Has your dog had training before? *

YesNo

Where has your dog had training and what classes have they attended? *

Payment

Payment Options *Pay NowPay First Day of Class

Please do not fill in this field.

Cancel and Close

Sign Up for Clicks and Tricks

Your Information

First Name *

Last Name *

Email Address *

Phone *

Dog's Name *

Dog's Breed

Dog's Age

Dog's Weight

Veterinary Information

First Name *

Last Name *

Your Vet's Phone Number *

Has your dog been spayed/neutered? *

YesNo

Has you dog been around other dogs? *

YesNo

Training Information

Has your dog had training before? *

YesNo

Where has your dog had training and what classes have they attended? *

Payment

Payment Options *Pay NowPay First Day of Class

Please do not fill in this field.

Cancel and Close

Sign Up for Puppy Kindergarten

Your Information

First Name *

Last Name *

Email Address *

Phone *

Dog's Name *

Dog's Breed

Dog's Age

Dog's Weight

Veterinary Information

First Name *

Last Name *

Your Vet's Phone Number *

Has your dog been spayed/neutered? *

YesNo

Has you dog been around other dogs? *

YesNo

Training Information

Has your dog had training before? *

YesNo

Where has your dog had training and what classes have they attended? *

Payment

Payment Options *Pay NowPay First Day of Class

Please do not fill in this field.

Cancel and Close

Sign Up for Intermediate Basic

Your Information

First Name *

Last Name *

Email Address *

Phone *

Dog's Name *

Dog's Breed

Dog's Age

Dog's Weight

Veterinary Information

First Name *

Last Name *

Your Vet's Phone Number *

Has your dog been spayed/neutered? *

YesNo

Has you dog been around other dogs? *

YesNo

Training Information

Has your dog had training before? *

YesNo

Where has your dog had training and what classes have they attended? *

Payment

Payment Options *Pay NowPay First Day of Class

Please do not fill in this field.

Cancel and Close

Sign Up for Basic Obedience

Your Information

First Name *

Last Name *

Email Address *

Phone *

Choose a session *MondaysSaturdaysChoose a session

Dog's Name *

Dog's Breed

Dog's Age

Dog's Weight

Veterinary Information

First Name *

Last Name *

Your Vet's Phone Number *

Has your dog been spayed/neutered? *

YesNo

Has you dog been around other dogs? *

YesNo

Training Information

Has your dog had training before? *

YesNo

Where has your dog had training and what classes have they attended? *

Payment

Payment Options *Pay NowPay First Day of Class

Please do not fill in this field.

Cancel and Close

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