PUPPY APPLICATION

Name *

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Phone *

What is the best way to contact you? *

What is the best time to reach out at? *

What breeds are you interested in? *

Gender *

Purpose *

Companion
Service
Therapy
Breeding (Breeding rights will be considered for small in home approved breeders)

What type of energy level are you looking for in your new puppy? *

Are you willing to provide a new puppy/dog with optimal health care (regular vet visits), nutrition, and exercise? *

Are you aware these breeds will require grooming, perhaps as frequently as every 8-10 weeks? *

Do you have any questions we can help you with? *

I have read through the Reservation Agreement page and understand that the reservation fee is non-refundable, but transferrable. *

I have read and agree

through the Reservation Agreement page and understand that the reservation fee is non-refundable, but transferrable to an upcoming litter if you decide to purchase at a later time.

I have read through the Puppy Contract and agree to the terms and conditions. *

Signature *

Date *