Name:
Address:
Email address:
Home Phone:
Mobile Phone:
Gender Preference:
Coat Preference:
Size Preference:
Color Preference:  
1st choice
2nd choice
3rd choice
Why would you want to add a puppy to your family?
Do you own your home?
Do you have other pets?
If yes, what kind?
Do you have a fenced in yard?

Please briefly describe your family’s lifestyle. Be sure to let us know the types of activities you plan to be doing with your dog. This helps us a great deal when it is time for allocations:

Have you had a dog before?
Do you have any children in the household?
If yes, please provide ages:
Does anyone in your household have animal allergies?
Do you agree to our re-homing policy?

If for any reason, at any time you are unable to keep your dog, we require you to contact us immediately. We will either ask you to return the dog to us, or will assist in re-homing him/her for you. We NEVER want one of our dogs to end up in a shelter.

 

Will you do obedience training?
Will your dog be left outside?
How many hours a day will your dog be left alone?
Are you and your family ready to care for a pet for 10 - 15 years?
What is your veterinarian’s name and contact number?
How did you hear about us?
Any additional information you would like to add?

 

 

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