Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
May we text you?
What current or future litter are you interested in?
I am interested in a
Male
Female
doesn't matter
Do you have a color preference?
How did you hear about us?
Do you own your home
Yes
No
Other
If you do not own your home, do you have the landlords permission to own a puppy of this breed?
Could you please provide a name and phone number for landlord if applicable?
What type of home
Please Select
House
Farm
Apartment
Trailer
Rv
Other
What other pets do you have
Dog
Cat
Farm animals
Small animals
Other
None
Please list pets and add the following information: type, breed, age, spayed or neutered
Have you had dogs in the past? If so, what kind and what happened to them?
Veterinarian
Veterinarians phone number
Veterinarians address
How and where are your dogs kept? ( ie. Kennels, chainspots, in the house,...)
How many hours per day will the puppy/dog be alone? Where will he/she be kept while alone?
Can you provide a brief summary of everyone who resides with you? (Relationship to you, age, lives with you full or part time, special requirements such as allergies...)
Caring for a dog of this size can be expensive. Do you feel you are prepared for the financial responsibility of owning one of these dogs?
Caring for a puppy of this magnitude can be time consuming and sometimes frustrating. Do you feel you are prepared to raise a puppy?
Does everyone in your house household agree to getting a new puppy?
Why are you looking to get one these dogs?
Working prospect
Sport home
Family pet
Breeding
Other
Please provide any additional information you feel we should know.
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