Applicant Information
First Name:
Last Name:
Address Street:
City:
Zip Code:
(5 digits)
State:
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Phone number:
Email address:
Veterinarians phone number:
How did you hear about us?:
Questions:
Do you have any preferences on color, coat type, size, sex, temperament, etc…? Please let me know what you are flexible on.
Is this your first dog? What experience do you have caring for animals? Please explain:
What other animals do you currently have living with you? Are they spayed or neutered?
Are there any special circumstances related to you or your family, such as allergies?
Are there any restrictions or covenants pertaining to dog ownership where you live? Please explain:
Will the puppy/dog be a mainly inside or mainly outside pet? Please explain:
Do you have a fenced in yard?
How many hours a day will the puppy/dog have human interaction? Please explain:
A $300 deposit is required to hold your spot on our waiting list.
Puppies are allocated at 6 weeks of age. Puppies will go to their new homes after 9 weeks of age.
Puppies are allocated in the order deposits are reserved.
All payments must be made in full before puppy leaves breeder.
Puppy must be picked up within 2 weeks of the scheduled pick up date.
Although rare, please note that we reserve the right to retain any puppy that we think has the exceptional potential to become a breeder.
If the puppy you had in mind is chosen you will receive your deposit back.
Thank you so much for your time and thoughts. We will review your application and respond within 48 hours.
I authorize my statements as true to the best of my knowledge.