Applicant Information

I'm Applying For *

Specific Animal (If Known)

Full Legal Name *

Preferred Name

Date of Birth *

Address *

City *

State *

ZIP Code *

Phone Number *

Email Address *

Preferred Method of Contact *

Occupation

Employer

Typical Work Schedule

Are You Applying With Another Person? *

If Another Person Will Share Ownership/Responsibility, Their Name & Contact Info

Household Information

How Many Adults Live in Your Home? *

How Many Children Live In or Regularly Visit?

List the Adults & Their Relationship to You *

Children's Ages

Are All Household Members Aware You're Applying? *

Do All Household Members Agree to Bringing This Animal Home? *

Who Will Be the Primary Handler & Caregiver? *

Who Will Be Financially Responsible? *

Is Anyone in the Household Afraid of or Uncomfortable Around Animals?

Is Anyone in the Household Allergic?

If Yes, How Will the Allergy Be Managed?

Are All Household Members Prepared for Normal Young-Animal Behaviors (Nipping, Barking, Jumping, Chewing, Accidents, Shedding, Scratching)? *

Do You Understand That Adolescent, Puppy/Kitten-Like Behavior Can Continue for a Year or More? *

Any Major Household Changes Anticipated in the Next Two Years (Move, Marriage, Divorce, New Baby, College, Deployment, Job Change, Travel)?

If Yes, Please Explain

Home & Property

Do You Own or Rent Your Home? *

Type of Dwelling *

If Other, Please Specify

If You Rent: Do You Have Written Permission From the Property Owner to Keep This Animal?

Are There Any Breed, Size, Weight, or Number-of-Pet Restrictions Where You Live?

If Applicable, Landlord/Property Manager Contact Info

Do You Have a Securely Fenced Yard? *

If Yes, Describe the Fence (Height & Type)

If No Fenced Yard, How Will You Safely Exercise & Toilet the Animal?

Do You Have a Pool, Pond, Livestock, or Other Safety Concern on the Property?

If Yes, How Will the Animal Be Protected?

Where Will the Animal Sleep? *

Where Will the Animal Stay When No One Is Home? *

Where Will the Animal Spend Most of the Day? *

Do You Agree the Animal Will Live Primarily Inside the Home, Not Kept Permanently Outdoors? *

Animal-Ownership History

Do You Currently Own Any Animals of This Type? *

If Yes, For Each One: Name, Breed/Mix, Age, Sex, Fixed Status, Where Obtained, Length of Ownership, Temperament, Training History, Medical Conditions, Behavioral Concerns

If You Do Not Currently Own One, Describe Your Previous Experience

Have You Ever Owned One Before?

What Breeds/Types Have You Previously Owned?

What Happened to Each Animal You No Longer Own?

Have You Ever Sold, Rehomed, Surrendered, Abandoned, or Returned an Animal? *

If Yes, Please Explain

Have You Ever Had an Animal Euthanized for Behavioral Reasons? *

If Yes, Please Explain

Has Any Animal You Owned Ever Bitten or Seriously Injured a Person or Another Animal? *

If Yes, Please Describe What Happened

Has a Vet, Trainer, Behaviorist, Animal-Control Officer, or Court Ever Classified One of Your Animals as Aggressive or Dangerous? *

If Yes, Please Explain

Have You Ever Been Cited, Investigated, or Charged With Neglect, Cruelty, Abandonment, or a Related Offense? *

If Yes, Please Explain

Current Animals

Do You Currently Own Any Other Animals?

If Yes, List Each Animal's Species, Age, Temperament & Living Arrangements

Are Your Current Animals Comfortable Around This Type of Animal?

Have Your Current Animals Lived Safely With Puppies/Kittens/Young Animals Before?

Are All Current Animals Up to Date on Vaccinations, Parasite Prevention & Veterinary Care? *

Unless Approved in Writing, All Dogs in the Home Must Be Spayed/Neutered Before an Emery Ranch Puppy Comes Home. Would This Be a Problem?

If Yes, Please Explain

If a Current Animal Has Serious Aggression/Behavior Problems That Could Endanger a New Arrival, Emery Ranch May Require Documented Intervention, Separation, or Rehoming Before Approving Placement. Would This Be a Problem?

If Yes, Please Explain

How Will You Safely Introduce the New Animal to Your Current Ones? *

Veterinary History

Are You Currently Established With a Veterinarian? *

Veterinary Clinic

Veterinarian's Name

Clinic Address

Phone Number

Email Address

How Long Have You Used This Practice?

May Emery Ranch Contact the Clinic to Verify Your History of Care? *

If Not Established, Which Practice Do You Intend to Use?

Why Are You No Longer Using Your Previous Veterinarian?

Do You Agree to Establish the Animal With a Veterinarian Promptly After Bringing It Home & Follow Contract Exam Requirements? *

Do You Agree to Maintain Appropriate Vaccinations, Parasite Prevention, Dental Care, Grooming & Routine Veterinary Care? *

How Would You Handle an Unexpected Veterinary Emergency Costing Several Thousand Dollars? *

Do You Currently Have or Plan to Obtain Pet Insurance?

If Not, How Will You Prepare for Emergency Veterinary Expenses?

Animal Preferences

Which Litter or Planned Breeding Interests You?

Which Animal Are You Interested In (If Known)?

How Soon Are You Hoping to Bring One Home? *

Would You Consider Waiting for a Later Litter if a Suitable Match Isn't Available? *

Do You Prefer a Male or Female?

Why?

Would You Accept the Other Sex if That Animal Were a Better Temperament Match? *

Color Preference

Accept a Different Color if a Better Match? *

Please Rank the Following From Most to Least Important: Temperament, Health, Working Potential, Energy Level, Sex, Color, Size, Specific Litter, Timing *

Do You Understand That Temperament & Suitability Take Priority Over Color or Appearance? *

Would You Consider an Older Puppy/Kitten or Young Adult?

Would You Consider a Retired Breeding Animal?

Would You Like to Be Contacted About an Older/Rescue Animal Needing Placement if We Believe It Would Suit Your Household?

Training Commitment

All Emery Ranch puppies are placed with an approved training program, generally $2,500–$3,500 in addition to the purchase price.

Are You Financially Prepared for This Commitment (With an Approved Payment Plan if Applicable)? *

Do You Understand Payment-Plan Approval Is Not Guaranteed? *

Who Will Participate in the Puppy's Training? *

How Much Time Can the Primary Handler Devote to Training Each Day?

Have You Previously Attended Obedience Classes or Worked With a Professional Trainer?

If Yes, Describe Your Experience

What Training Methods/Tools Have You Used Previously?

Are You Willing to Follow the Training Plan Provided by Emery Ranch & the Designated Trainer? *

Are You Willing to Attend All Required Lessons, Follow-Ups & Group Classes? *

Are You Willing to Practice Between Lessons & Submit Requested Progress Updates/Videos? *

How Do You Plan to Manage House Training, Crate Training, Socialization, Chewing, Nipping & Adolescent Behavior? *

What Would You Do if the Puppy Developed an Unexpected Behavioral Problem?

Do You Agree to Contact Emery Ranch Before Rehoming, Surrendering, Selling, or Transferring the Dog? *

Service-Dog Applicants

Complete this section only if you're seeking a service-dog prospect.

Who Will the Dog Be Trained to Assist?

Is the Intended Handler an Adult or a Minor?

If the Handler Is a Minor, Who Is Responsible for Handling, Training & Care?

What Specific Trained Tasks Do You Hope the Dog Will Perform?

Please Distinguish Trained Tasks From Emotional Comfort, Companionship, Protection, or the Dog's Natural Presence

How Would These Tasks Help Mitigate the Handler's Disability-Related Limitations?

Does the Handler Experience Seizures, Fainting, Balance Loss, Dissociation, Elopement, Self-Injury, or Another Condition That May Affect the Dog's Safety/Training? If Yes, Explain Only What's Necessary to Assess Placement Safety

Are You Seeking Response Tasks, Alert Tasks, or Both?

Do You Understand a Dog May Be Trained to Respond to a Medical Event, but Naturally Occurring Alerts Cannot Be Guaranteed?

Who Will Care for & Exercise the Dog When the Handler Cannot?

Is the Intended Handler Physically & Emotionally Able to Participate Consistently in Training?

If Not, Who Will Serve as Secondary Handler?

What Public Environments Will the Dog Regularly Need to Navigate?

Are There Other Service Dogs, ESAs, or Pets in the Home?

Do You Understand Service-Dog Prospects Aren't Guaranteed to Complete Training or Qualify for Public-Access Work?

Do You Understand Health, Temperament, Fear, Reactivity, or Other Factors May Cause a Dog to Be Career-Changed?

If Not Suitable for Service Work, Would You Keep the Dog as a Trained Companion?

If Not, What Outcome Would You Expect?

Do You Understand a Service Dog Is an Addition to Professional Treatment, Not a Replacement for It?

Are You Willing to Provide Professional Documentation if Reasonably Required?

What Are Your Expectations Regarding the Age the Dog May Be Fully Trained?

Any Upcoming Deadline That Depends on the Dog Becoming Fully Trained?

Therapy-Dog Applicants

Complete this section only if you're seeking a therapy-dog prospect.

Where Do You Hope to Volunteer With the Dog?

Do You Currently Work for or Volunteer With That Organization?

What Populations Would the Dog Visit?

How Frequently Do You Expect to Volunteer?

Do You Understand a Therapy Dog Doesn't Have the Same Public-Access Rights as a Service Dog?

Do You Understand Therapy-Dog Suitability & Certification Cannot Be Guaranteed?

If the Dog Doesn't Qualify for Therapy Work, Would You Keep It as a Companion?

Breeding & Registration

Unless Otherwise Agreed in Writing, Animals Are Sold on Limited Registration With a Spay/Neuter or Alteration Agreement. Is This a Problem? *

If Yes, Please Explain

If Not Approved for Breeding/Conformation, Are You Willing to Spay/Neuter or Alter at the Age Required (Generally After Physical Maturity, ~2 Years)? *

Do You Understand Limited Registration Does Not Authorize Breeding? *

Do You Agree Not to Breed Intentionally or Accidentally Without Written Breeding Rights From Emery Ranch? *

Are You Requesting Breeding Rights?

If Yes, Describe Your Breeding, Showing, Health-Testing & Puppy/Kid-Raising Experience

Grooming & Routine Care

Are You Comfortable Owning an Animal That Sheds & Requires Regular Brushing? *

Are You Prepared to Provide Bathing, Nail Care, Ear Care & Dental Care? *

Who Will Perform the Grooming?

How Frequently Will You Use a Professional Groomer, if Applicable?

Are You Comfortable Checking Regularly for Skin, Coat, Ear, Nail, Dental & Parasite Concerns? *

Financial Readiness

How Much Do You Expect to Pay? *

Estimated Annual Budget

Food

Routine Veterinary Care

Emergency Veterinary Care

Pet Insurance

Grooming

Training

Boarding/Pet Care

Equipment & Supplies

Are You Financially Prepared for the Purchase Price, Required Training, Supplies, Routine Care, Insurance & Unexpected Vet Expenses? *

Would a Significant Unexpected Expense Affect Your Ability to Keep or Care for the Animal? *

Daily Care & Travel

How Many Hours Will the Animal Normally Be Alone Each Day? *

If It Cannot Initially Remain Alone That Long, What Arrangements Will You Make?

Who Will Care for the Animal While You Work?

Who Will Care for the Animal When You Travel or Are Unavailable? *

Will the Animal Travel With You?

If Yes, What Backup Plan Do You Have if It Cannot Accompany You?

How Often Do You Travel Overnight?

Do You Currently Use a Boarding Facility, Pet Sitter, Friend, or Family Member for Animal Care?

What Will Happen to the Animal if You Become Ill, Disabled, Hospitalized, Deployed, Divorced, Displaced, or Otherwise Unable to Provide Care? *

Please Identify an Emergency Caregiver Who Has Agreed to Take Responsibility *

Realistic Expectations

How Do Household Members Feel About Cleaning Urine, Feces, Vomit, Shed Hair, Mud & Other Messes? *

How Do They Feel About Possible Yard Damage, Chewed Belongings & Other Normal Wear?

What Circumstances, if Any, Would Cause You to Return or Rehome the Animal? *

What Would You Do if the Animal...

Did Not Develop the Appearance You Expected?

Became Larger or Smaller Than Expected?

Developed a Chronic Medical Condition?

Was Unable to Fulfill Its Intended Purpose (Service, Therapy, Sport, Show, Breeding)?

Required Ongoing Behavioral Training?

Did Not Get Along With Another Household Animal?

Required More Exercise or Management Than Expected?

Do You Understand Emery Ranch Cannot Guarantee Adult Size, Exact Appearance, Working/Show/Breeding Success, Medical-Alert Ability, or Service-Dog Completion? *

References

Please provide three references. At least one should be a current or previous veterinarian whenever possible. References should not all be immediate family.

Veterinary Reference

Name of Clinic/Veterinarian *

Relationship & Length of History *

Address

Phone *

Email

Personal or Professional Reference 1

Name *

Relationship to You *

How Long Have They Known You?

Phone *

Email

Personal or Professional Reference 2

Name *

Relationship to You *

How Long Have They Known You?

Phone *

Email

Do You Authorize Emery Ranch to Contact These References? *

Final Questions

How Did You Hear About Emery Ranch? *

Have You Applied to or Placed a Deposit With Another Breeder?

If Yes, Please Explain

Have You Previously Been Declined an Animal by a Breeder, Rescue, Shelter, or Placement Program?

If Yes, Please Explain

Anything Else About Your Household, Health, Experience, Expectations, or Intended Use That Would Help Us Make an Appropriate Placement?

What Questions Do You Have for Emery Ranch?

Acknowledgments

Please check each statement to acknowledge you've read and understood it.

I understand that submitting this application does not guarantee approval or placement.

I understand Emery Ranch matches primarily by temperament, health, energy, structure & intended purpose — not solely by sex, color, appearance, or order of application.

I understand no animal can be guaranteed to complete service, therapy, sport, conformation, breeding, or other specialized work.

I understand the purchase price and required training expenses are separate unless expressly stated otherwise in writing.

I agree to provide truthful & complete information, and understand materially false or omitted information may result in denial or cancellation of placement as permitted by the applicable agreements and law.

I understand final requirements will be contained in the signed purchase, training, health, registration & spay/neuter agreements.

I agree to contact Emery Ranch before selling, surrendering, rehoming, giving away, or otherwise transferring the animal.

I authorize Emery Ranch to contact my veterinarian, trainer, landlord & references for the limited purpose of evaluating this application.

I understand application information will be used to evaluate placement & administer the placement process.

Applicant's Full Legal Name *

Date *

Applicant's Signature (Type Full Legal Name) *

Typing your name here serves as your electronic signature on this application.

Co-Applicant's Full Legal Name (If Applicable)

Date

Co-Applicant's Signature (Type Full Legal Name)

Buyer Application

Applicant Information

Household Information

Home & Property

Animal-Ownership History

Current Animals

Veterinary History

Purpose of the Animal

Animal Preferences

Training Commitment

Service-Dog Applicants

Therapy-Dog Applicants

Breeding & Registration

Grooming & Routine Care

Financial Readiness

Daily Care & Travel

Realistic Expectations

References

Final Questions

Acknowledgments

Emery Ranch Is Not for Everyone.