Puppy Application

Name

Spouse Name

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home Phone

Cell Phone

Spouse's Cell Phone

E-Mail Address

Are you on Facebook/Instagram? If so, contact name?

Do either you or spouse work from home? Hours you work away from home?

Do you reside in a house? Or are you in an apartment/ townhouse?

Do you have children? If so, ages?

Where did you hear about us?

Are you looking for a pet/companion dog, breeding dog or show dog?

Are you looking for a male or female?

Are there other dogs or pets in the home now? If so describe.

Are you in town or rural?

Do you have a fenced yard?

How much time daily will you spend with your dog?

What breed are you interested in?

What energy level do you want in a dog?

What size dog do you want?

Is shedding a concern? Any family members with allergies?

What is your Veterinarians Name and Phone Number?

Please tell us anything else about yourself/your familythat you would like us to know.