Are you applying for yourself?:  * Your name :  * Your Phone:  * If not for you then Name who is the candidate for a puppy? Their Phone number: Their Email Address: Street Address:  * City:  * State:  * Zip Code: Own or Rent--House or Apartment?  * List adults in the household:  * List children in the household & ages:  * List other pets in the home  * Does anyone smoke in the household?  * Is the yard fenced?  * Why do you think this candidate deserves a free puppy?:  * Your Email address:  * Will you send photos?  * Do you agree with photos and your name and city and state being published?  * Do not enter anything in this field: