Puppy Adoption Application Form
I am ready to place a deposit or purchase a puppy.
Email address *
Contact information
First name *
Your answer
Last name *
Your answer
Street address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Phone (best one to reach you) *
Your answer
Adoption information
This helps us know a little about you so we can make the best puppy suggestions for your situation.
How were you referred to us? *
Your answer
Purpose for purchasing a puppy? *
Your answer
Is this your first dog? *
Your answer
Animals currently present in the home: *
Your answer
Are you committed to caring for this dog for its lifetime (approx. 13 yrs)? *
Are you willing to spay/neuter this dog? *
Are you looking for a dog to use for breeding? *
If you are considering breeding, do you promise to have this dog OFA certified for hips, eyes, and cardiac (a $300+ expense) and to consult us prior to breeding?
Your answer
Others in household that will have contact with dog? *
Required
Describe your living conditions: Urban/Suburban/Rural/Apartment *
Where will the dog stay during the day? *
Your answer
Where will the dog stay during the night? *
Your answer
We are interested in *
Required
Additional Information you'd like to share
Your answer
A copy of your responses will be emailed to the address you provided.
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