Adoption Application | Harrison Farm Teddy Bears

Name *

Email address *

Phone Number *

Tell us about your household: (Number of adults/children and ages of children) *

Is anyone in your home allergic to dogs? *

Do you have other pets? (Please list breeds and ages) *

How many hours per day will the puppy be left alone? *

Where will the puppy spend its time during the day? *

Do you have a securely fenced yard or a safe plan for outdoor potty breaks? *

Initial Health Verification (Required): To validate your health guarantee, do you commit to taking your puppy to a licensed veterinarian for a "Well-Puppy" exam within 72 hours of picking them up? *

Yes, I understand and agree.

Proof of Exam (Required): Do you agree to send a photo or digital copy of the vet’s exam results to Harrison Farm within 72 hours of that appointment? *

Yes, I understand and agree.

Lifelong Care: Are you committed to caring for this dog for its entire lifespan (12–15 years)? *

Yes
No

Is there anything else you would like us to know about your family or the life a Harrison Farm puppy would have with you?ge *

Next Steps By submitting this application, you are expressing your interest in joining the Harrison Farm family. Once received, we will:

1. Review: We personally read every application within 48 hours.

2. Connect: We will reach out for a brief phone call

3. Reserve: If approved, a deposit can be placed to secure your specific puppy.

Signature: Type your full name and date to sign the application. *