Puppy Application

Name*

First Last

Email*

Enter Email Confirm Email

Phone*

Please let us know if you have specific times or time you would prefer us to call?

Address

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

If you are interested in a specific puppy, please provide puppy name.

Provide name of puppy you are interested in

If interested in future puppy, provide information here.

Please let us know if there is a specific male or female you wish to get a puppy from. Let us know if you are wanting a male or female and any other general short specifics you are looking for in your new puppy.

Pets at Home?*

We would just like to know a little about what pets you may currently have at home.

Describe Pets in Brief

Please share with us just a little information about your pets that would be fun and interesting for us to know.

Photos

Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 5 MB, Max. files: 3.

If you have a couple of photos of your pets you'd like to share with, us we'd love to see them. Limit of 3 and the images must be low resolution.

Do you have a veterinary clinic you use?

Yes
No

Please let us know a little about your vet.

Moving to New Location - What would you do with your dog?

Find a new home/neighborhood that allows dogs
Find a new home for my dog because dogs are not allowed where we are going.
Send dog back to the breeder or with relatives until new living arrangements are resolved.

If you have to move and relocate how would this affect your dog?

If your dog were to encounter an eye injury in which seems to have blinded him/her what would you do?*

We would like to know how you would respond to your pet's injury.

If your pet became blind or maimed from an injury what would you do and what would the pets future be with you?*

Find a new home or shelter for my pet
Keep pet and provide extra care

Just choose one or other if neither apply

Have you ever sent a pet to a shelter?*

No
Yes

Have you Ever Changed Your Mind and Decided You no longer want a pet?*

Yes
No

Let us know if you've ever changed your mind about a pet.

If you work, where's the dog during day when you work?*

If you work and leave the dog home during the day explain how he/she will be kept.

Where is the home you will raise up your new puppy?

Subdivision
Country
Apartment

Just let us know a little about the living arrangements for new puppy.

Do you have children or spouse at home?

No
Yes

We just want to know a little about the new family the puppy will now have.

In brief, please let us know what it is about the puppy breed you like so much?*

Short detail of info is all needed

If you do not know the breed very well are you interested in learning more about it?

Yes
No

Puppy Application

Subscribe for Updates via Email