Email Address *

Tell us about yourself: Name, address, phone number *

Your Marital Status: *

How old are you? *

Your occupation: *

Tell us about your home and family: *

Do you own or rent your house? *

Do you have HOA restrictions about pets? *

Have you had a Lowchen before? *

When would you like to add a Lowchen to your home? *

You understand you do not get to pick your puppy, but we pick the puppy we think would be right for your home.

You understand we do not work on a first come first serve basis, we place puppies with the home that will best fit them.

Do you have a fenced yard? If so, what kind of fence and how tall *

Do you have a swimming pool? *

Do you have any other pets in your house? *

Are you prepared to puppy proof your house and yard? *

Are you prepared to spend the time and money to take care of your puppy properly? *

Do you plan on crate training your puppy? *

How many hours a day will the dog be left at home alone? *

Do you plan on doing any type of training classes with your puppy? *

Do you plan on getting your puppy spayed or neutered once it is 15 months old? *

Do you prefer a male, or female puppy? *

Do you agree to contact Willowcreek if you should not be able to take care of the dog at any time in its life? *

Do you currently have a veterinarian? If yes, please provide their contact information. *

Can we contact the vet listed above as a reference?

Please give 2 other references: Name & phone number *