Your Name*

Your Address*

Your Email*

Your Telephone*

List all pets and their ages currently at your home

Do you have a fenced yard?

Yes  No

How high and what type?

What type of home do you reside in?

House  Apartment  Townhouse  Duplex

Do you have any children?

Yes  No

What ages?

Who will care for the puppy during the day?

How many hours per day will the puppy be left alone?

If more than 6 hours, will someone be able let the puppy out or walk the puppy during lunch?

Yes  No

Who will be the primary caregiver of the puppy?

Where will the puppy be left when no one is home?

In a crate  Loose  Inside  Outside

Where will you leave the puppy when you go away?

Boarding kennel  Friends

What would you do with the dog if you suddenly found out you could no longer keep the dog?

Where will the dog primarily spend it’s time?

List all previous pets. If you have had a pet die of age, illness, accident or euthanasia please explain the details.

Have you ever brought, surrendered, or sold a pet to a shelter?

Yes  No

If yes, why?

Are you looking for a family pet or a show dog? What sex or color preference?

Are you familiar with crate training your puppy while you are away or too busy to watch over him especially while you are house training him/her?

Yes  No

How did you find out about our dogs?

Our website  Breeder referral list

Were you referred by another breeder?

Yes  No

If yes, list their name.

Additional Comments

Thanks for taking the time to answer our questions!