Application

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cell Phone *

(###)

###

####

Interested In *

8 Week Old Puppy

Trained Dog

Guardian Dog

Allergies *

Is anyone in your household allergic to dogs?

Mild

Moderate

Severe

Not Applicable

Troubleshooting *

If you encounter a problem raising or training your puppy, are you willing and able to afford a trainer to help assist you and your dog with behavior modification and/or training?

Yes

No

Crate/ Play Pen *

Do you plan to use a crate or playpen while you are away from the house?

Yes

No

Fencing *

Do you have a fenced in yard?

Yes

No

Invisible Fence

Returning Dogs/ Puppies *

If you cannot keep the dog/ puppy for any reason, are you willing to contact us so we may take him/ her back and assist with rehoming?

Yes

No

Gender

Male

Female

Either

Color

Red/ Apricot

Black

Chocolate

Buff/ Cream

Phantom

Sable

I Am Flexible On Color

Schedule Phone Call *

We will follow up to this application via phone call. Please enter a date and time below that would be best for us to reach you. Thank you!

MM

DD

YYYY

Time *

Weekdays after 5pm and anytime on weekends.

Hour

Minute

Second

AM PM