Puppy Application Form Puppy ApplicationFirst NameLast NameEmailPhoneAddressAddress Line 1Address Line 2CityStateZip CodeCountrySelect CountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the Congo (Kinshasa)DenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the Congo (Brazzaville)RomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwePlease read and agree to the following by checking the boxes before moving forward. All the boxes must be selected below for your application to be accepted. Puppies are $3500 plus 6% sales tax. I understand Wildmour K9 allocates the puppies based on temperament and I am not promised a certain puppy until they are allocated. I understand the application fee and any other future deposits are non-refundable, but are transferable to a future litter if the need arises. I understand Wildmour K9 cannot guarantee timing on a puppy. I understand that I am getting a puppy and that no matter how well prepared and trained my puppy is, it is still a baby and I should expect my puppy to have accidents in the house and crate, to cry and bark, to nip and bite, and to require a great deal of patience and attention. I understand that these are NORMAL puppy behaviors and that I expect them to happen. I understand that Wildmour K9 puppies require regular grooming appointments and require brushing daily/weekly depending on the length of the coat. Wildmour K9 puppies will shed. I understand that while you provide a good start for my puppy, I need to learn how to train and maintain my dog's training and that may require the assistance of a dog trainer or behaviorist. I agree to purchase at least a 30 day supply of the food my puppy was raised on. There is no such thing as a "calm" puppy. Puppies by nature are high energy. It typically takes about 2 years for Golden Retrievers or Belgian Sheepdogs to mellow and for their puppy energy level to go down. You must check all boxes below for your application to be accepted. I understand that this puppy is not to be bred and is required to be spayed/neutered(unless stated in the puppy agreement I sign), and I am subject to significant fines and other damages as stated in the contract if not spayed/neutered and/or bred. I understand that the contract requires spay/neuter by 24 months of age, no exceptions. I understand that you provide a good start for my puppy, but that I will need to continue socializing my puppy once in my care. I understand that unsocialized puppies can be scared of strange people, children, car rides, other dogs and puppies, vets, groomers, different places and environments and may be subject to behavioral issues as a result of lack of socialization. Yes NoIs everyone in your household aware you are applying for a puppy? If not, please explain.We breed Golden Retrievers and Belgian Sheepdogs. Which are you interested in?- Select -Belgian SheepdogGolden RetrieverPuppies often have a lot of energy and can chew, dig, bark, soil the house, and cry at night. They can play roughly and scratch your skin with teeth and nails, they can get sick on floors, furniture, and in cars. Please tell us your patience level and how you might deal with the challenges of puppyhood.Please tell us about the children in your home and their and ages.Does anyone in your family have allergies to dogs? Yes NoI live in a(n)- Select -HouseApartmentCondoTownhouseFarmHow many hours a day would your puppy be home alone?Current dogs/breeds/genders:My puppy is intended to be: (please select all that apply) A Pet and Companion A Service Dog or Assistance Dog candidate (provides specific tasks for one individual) Emotional Support/PTSD/Anxiety Dog candidate (I have a referral from or am under the care of a health professional for this) A Therapy Dog candidate (provides comfort in facilities such as hospitals and nursing homes for a variety of individuals) A Conformation Show Dog A Sports Performance Dog (agility, obedience, tracking, hunting, etc.)If you entered anything other than "Pet and Companion" in the question above, please elaborate on your needs.Describe your ideal dog. PLEASE be as specific as possible. We are looking for adjectives that describe the temperament you are looking for. You can also include activities that you do on a regular basis and information on your family or home that you think would be relevant to a puppy. NOTE: There is no such thing as a "calm" puppy. Puppies by nature are high energy. It typically takes about 2 years for puppies to mellow and for their puppy energy level to go down.Board and Train Program. We offer our Smart Puppy Start program for all of your puppy training needs. Your puppy will begin this program at 8 weeks of age and they will start working on crate training, potty training and basic commands. The training programs are anywhere from 2-12 weeks depending on what program you choose. Are you interested in learning more? Yes NoWill you pick up your puppy or need it shipped? If you are not within a reasonable drive, you will need to fly into a local airport (Dulles, Richmond, or Roanoake), rent a car and pick up OR hire a flight nanny to bring your puppy to your local airport. We do NOT ship puppies in cargo. Pick Up Delivered via car (additional fees may apply Hire a flight nannyAll puppies must be picked up on the day they turn 8 weeks old. If you are using the training service, the trainer will pick up your puppy. If you are using a delivery service, the delivery will either be on the day they turn 8 weeks old or the day before. I will arrange my schedule to pick up on the day the litter is due to go home. I will arrange my schedule to pick up on the day the litter is due to go home. Are you requesting a specific gender? Male Female EitherUpon signing my name, I agree that the $500 accompanying this completed application is an application fee and not a deposit. Therefore, it is non-refundable and will only be applied to the final balance due when I purchase a puppy. This application will not be added to the waiting list without my text signature below. Please note that we have a strict visitation policy to protect your puppy’s health but we can video call with you to see your puppy when we have availability. By entering my name in the text box below, I agree that the signature is the legal equivalent of my manual signature. $2000 will be due if you are applying for a puppy already on the ground.Submit Form