Puppy Application Form

The information contained in this application is used only for the purpose of placing a puppy and will not be used elsewhere. A deposit will be accepted after your application is approved. Completion of this application is not a commitment to purchasing a puppy or placing a deposit. You will be contacted after we receive your Application and we can communicate from there. At that point, you can place a deposit/join a Reservation List. The deposit goes towards the total price of the puppy. Deposits are non-refundable but may be transferred to a future litter.
Full Name*

First NameLast Name
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Country
Phone Number*

Area CodePhone Number
Preferred method of contact:*

TextEmail
Are you interested in an already Available Puppy, or looking to join an upcoming Reservation List? Please give the name of the Puppy here, or the Dam/Sire names of the pairing you are interested in: *
How did you hear about us? *
Is this dog going to be a pet/companion (strict spay/neuter contract) or do you need full AKC-Breeding rights?*

Pet/CompanionFull AKC
Would you like to have the puppy delivered? (Our puppies can fly in cabin with a flight nanny, to any major airport in the USA.)*

YesNo
Will the puppy be picked up from us?*

YesNo
Do you have children at home?*

YesNo
Have you ever raised a puppy before?*

YesNo
Have you owned a dog before?*

YesNo
Do you have any pets now?*

YesNo
Do you understand the time and energy it takes to care for a puppy:*

YesNo
Do you understand that a puppy is a long term commitment and that puppies have a lot of energy and require training and patience to raise them to be the best that they can be?*

Yes
We love the occasional "pupdate" and seeing photos of our puppies as they grow. Would you be willing to give us an update/photo every once in a while?*

YESNO
Do you agree to contact Millie & Co. in the event you cannot keep your puppy at any point in time?*

YesNo
Have you ever surrendered a pet before?*

YesNo
If yes, for what reason?
blank*
Do you agree never to surrender your dog to a shelter or rescue? Instead, in the event your dog needs re-homing, you will notify breeder who will either take the dog back/take responsibility for re-homing, or work together to find them a new, suitable home?*

Yes
Do you have a fenced yard?*

YesNoPartial
For the safety of your puppy, when not in an enclosed fence area, please keep your puppy on a leash at all times.
Please let us know a little bit about you/your family. *
Will the puppy live indoors?*

YesNo
How many hours in a day would the puppy be left alone?*
By sending this electronically, I acknowledge that I have completely read this questionnaire and comprehend it fully. I understand that applying does not ensure approval.
Date*

MonthDayYear
Your name*
E-mail*
Signature

Clear
Deposits are non-refundable but transferrable.
Should be Empty: