If you are interested in a puppy please fill out the form below and submit.

Your Name:

Your Address:

City, State Zip:

Your E-mail Address:

Your Phone Number:

What Reference Materials have you read:

Type of dwelling:
House, Condo, apartment, mobile home

Where will the puppy be kept during while
you are working?

Who will be the primary care giver?

Will there be someone available to feed and
exercise the puppy during the day?

How many hours on the average
will the puppy be left alone?

Where will the puppy be kept during the night?

Have you ever owed a dog before?

Do you have any other animals?

Do you have children? Yes, what are their ages?

Are you interested in a male or female puppy?

Does anyone in your household have allergies
to animals?

How many hours a day will the puppy be kept
outside?

How will he be confined when he is outside?

Will you be attending any training classes?

Have you ever house trained a dog before?

Have you shown a dog to any performance
titles?

Do you intend to breed the dog?

Are you interested in showing the dog in the
conformation ring?

Do you understand the difference between a
limited registration and a full registration?