Application

Full Name
*
Email Address
*
Phone Number
*
Spouse Full Name
Spouse Email Address
Spouse Phone Number
Address
*
- Street Address
- Address Line 2
- City
- State / Province / Region
- Postal / Zip Code
- Country
How did you hear about us?
*

Friend
Website
Social Media

Other
Where will your puppy live?
*

Inside
Outside
Both
Have you raised a puppy before?
*
Yes
No
Will you be enrolling your puppy in obedience classes?
*
Yes
No
How long will your puppy be alone during the day? (in hours)
*
Where will your puppy sleep?
*
How will you contain your puppy to your property?
*
Does everyone in your household want a puppy?
*
Yes!
No
Are your prepared to have your puppy spayed/neutered by 6 months of age?
*
Yes
No
Name and phone number of veterinarian:
*
What will this puppy be used for?
*
A family pet
Service animal
Other
Perferred Gender
*
Female
Male
Either
Preferred Size
*
Petite (20-25 lbs)
Mini (25-35 lbs)
Medium (36-50 lbs)
Standard (51+ lbs)
Color Preference
*

Cream
Golden
Apricot
Other
Order of Color Preference
*
Coat Type Preference
*
Wavy
Curly
Order of Coat Type Preferene
*
What time frame would you like your puppy?
*
ASAP
Within 3 months
Within 6 months
Within 9 months
Anytime
Is their a specific current or upcoming Litter you would like to reserve from?
Yes
No
Name of Litter?
Please click on the checkbox to continue
*