Puppy Application 

Name *

First Name

Last Name

Phone *

(###)

###

####

Preferred method of contact *

Phone call

Text

E-mail

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Are you interested in becoming a guardian? *

Families who are accepted into this program have a great opportunity to own a Yampa Valley Yorkie at a fraction of the cost by assisting with our breeding program.

Yes

No

More info

Are you interested in a male or female puppy? *

Male

Female

Either

What color(s) are you looking for? *

Our yorkies come in many colors, let us know if you have a color preference. **More than one option can be selected**

Traditional

Parti

Sable

Chocolate

Black

Any

Are you looking for a pet or a breeding prospect? *

Pet Only

Breeding Prospect

What kind of home do you live in? *

House

Apartment

Other

Do you rent or own your home? *

Rent

Own

Does your home have a fenced yard? *

Yes

No

Have you owned a yorkie before? *

Yes

No

Are you aware of grooming requirements for a yorkie? *

Yes

No

Are you prepared to care for this puppy for the next 10-15 years as you would a family member? *

Yes

No

Have you ever surrendered a pet to a shelter? *

Yes

No

How many hours will the dog be alone on a normal day? *

Less than 3 hours

3-5 hours

6-8 hours

9-12 hours

12+ hours

Where will the dog be kept when it is at home alone? *

Free to roam the house

Kennel

Exercise pen

Confined to one room

Are you financially capable of providing the necessary vet care should an emergency arise? Just a broken leg can cost $5000 (+/- depending on your area). *

Yes

No