Dog Supplemental Application
This form is only needed for dogs that weigh 30+ pounds
Your Info
Name
Last 4 of social or tax payor ID
Address you are applying for
Dog Info
Breed
If mixed breed, choose the dominate breed
Akita
Alaskan Malamute
American Bulldog
American Foxhound
Anatolian Shepherd
Australian Cattle Dog
Basset Hound
Belgian Shepherd
Bernese Mountain Dog
Bichpoo
Bloodhound
Border Collie
Boxer
Bulldog
Cane Corso
Chow Chow
Collie
Dalmatian
Doberman Pinscher
Dogo Argentino
Dogue de Bordeaux
English Setter
French Bullodog
German Shepherd
Giant Schnauzer
Gordon Setter
Great Dane
Great Pyrenees
Greater Swiss Mountain Dog
Greyhound
Harrier
Irish Setter
Irish Wolfhound
Labradoodle
Labrador
Mastiff
Newfoundland
Norwegian Elkhound
Old English Sheepdog
Pointer
Presa Canario
Retriever
Rottweiler
Saint Bernard
Samoyed
Siberian Husky
Spaniel
Standard Poodle
Standard Schnauzer
Vizsla
Weimaraner
Whippet
Wolfdog
Weight range
In pounds
0 to 29
30 to 39
40 to 49
50 to 59
60 to 69
70 to 79
80 to 89
90 to 99
100+
Pictures of pet
Pictures of pet
Pictures of pet
Digital Signature Acknowledgment
This is a legally binding document. By clicking “Submit”, you agree that you have the authority to enter into the agreement and are creating your electronic signature and signing the document just as if you had used a pen to ink sign the document.
SUBMIT