Puppy Application

Puppy Application

Please fill out this form to help us understand your lifestyle and reasons for wanting to add a Dixie Creek puppy to your family!
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Type of Residence
Do you rent or own your home?
Number of People in Household
Do you have children?
Age range of children
Do you have other pets?
Please tell us about your lifestyle and what you're looking for in a dog
Preferred gender of puppy?
Color preference?
What are your plans for your dog?
Are you willing to wait until the dog is fully matured (24 months) before altering per our contract?
We place all of our puppies on written contracts, are you willing to sign a contract?
Do you have an established veterinarian? If so, please provide their info below
Please provide two references below
Signature to confirm the information provided is accurate.
Should be Empty: