Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Gender Preference
*
Male
Female
N/A
Do you have a fenced yard or other way to keep your dog safely contained? Please tell us a little about your home (Rented or owned).
*
At what age do you wish to get the puppy? (Recommend 8 weeks and up)
*
Please provide us with a reference and your vet's information.
*
How did you find us?
Thank you for taking the time to fill out our Puppy Waiting List !
Submit
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