Puppy Application:
Please fill this out in it's entirety.
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Format: (000) 000-0000.
E-mail
example@example.com
Are you a breeder or looking for breeding rights?
*
Yes
No
Coat Type Preference?
*
Other
Gender Preference
*
Male
Female
Do not have a preference.
Color Preference
*
Solid/No Patterns
Piebald
Dapple
Do not have a preference.
Type a question
If you are not sure what you are looking for, please explain below & we will do our best to help you find your dream puppy.
*
Do you have your eye on a particular breeding pair or particular puppy? If so please describe.
Would you like to be contacted to be added to our prepaid waitlist?
*
Yes
No
Is this your first dog?
*
Yes
No
First time as an Adult
First time raising a puppy?
*
Yes
No
No, but it's been awhile.
Do you have other pets at home?
*
Yes
No
Do you have an established Vet?
*
Yes
No
If so, please list their information below. If no, please explain why?
*
Do you own or rent?
*
Own
Rent
If you rent or do not own your own home. Do you have permission from your landlord to own a pet? *Please list the Landlords info below so I can verify.*
*
How many minor children in the home?
*
0
1
2
3 or more.
How many children under the age of Five are in your home?
*
None
1
2
3 or more.
Does anyone in the home have allergies to dogs?
*
Yes
No
Will your puppy be an inside dog?
*
Mostly Indoors
Mostly Outdoors
Both
How many hours will your puppy be alone during the day?
*
Less than 4 hours
4 to 6 hours
6 to 9 hours
More than 9 hours
If more than 6 hours please explain how you will take care of the dog in your absence.
*
Are all the adults in agreement on getting a new puppy?
*
Yes, we cant wait!
No, still have some convincing to do.
Do you agree to contact us first in the case you need to re-home your puppy for any reason?
*
Yes
No
Do you agree to send us follow up photos & updates from time to time?
*
Yes
No
Please provide any other information that you feel would help us in placing your dream puppy with you.
How did you hear about us?
*
Family or Friend
Website/Search Engine
Facebook
Your Signature
*
Submit
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