Application Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Application Form

We would like to get to know more about you and your family before we place a puppy into your home. Our puppies are very important to us and we will always do our best to make a perfect match for each and every puppy.

Email *

First Name *

Last Name *

Phone # *

Address 1 *

Address 2

City *

State *

Zip *

Are there any allergy concerns for anyone living in your household? *

Yes

If there are allergy concerns, please describe *

Have you ever owned a dog before? Please list all dogs you have owned and if you are a former dog owner. Please be honest and explain what happened to your dog. (Examples: My dog died of old age, my dog had to be re-homed, etc. Please include all info. We like to know about any issues you had with your pets in the past so we can help prevent them in the future.) *

Are there any other household pets? Please list each pet and their age as well as their behavior type (mellow, active, dominant, etc.) *

Do you have a preferred color, gender or size? *

What type of home do you have. Please select all that apply. *

Own

Rent

House

Apartment / Condo

Fenced yard

Leash walking is the only exercise option for my dog

Smoke free home

Other:

Required

New puppies require a great deal of care and work. Who will be primarily responsible for your new dog? Are they ready for the reality of owning a new puppy? *

Please tell me a little bit about yourself and your family. (Any details you feel were missed while answering these questions) *

Best time to reach you? *

How did you hear about us? *

If your application is approved, and for you to be able to schedule a live visit to view available puppies in order to make a decision, a refundable deposit of $500 is required.

Once you choose a puppy, the deposit is no longer refundable and the full balance must paid before pick up (plus applicable taxes - Cash, Venmo or Zelle - personal check must clear one week before pick up)

I understand

Required

We only sell our puppies as pets and not for breeding, which means you must spay/neuter your puppy. Do you agree to this? *

Yes

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms