Name
*
First Name
Last Name
Spouse's Name (if applicable)
First Name
Last Name
Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email
*
Phone
(###)
###
####
Preferred Form of Communication
Facebook Messenger
Text Message
E-mail
Phone Call
What Breed Are You Interested In?
What Litter Are You Interested In?
Is There A Particular Puppy That Interests You?
Select Any Puppies that Interest You
Service Dog, Therapy Dog, Facility Dog
Are you seeking a service, therapy or facility dog? If yes, please explain where you are in the process and how I can best help you.
Are You Interested in Breeding Rights/Show Prospects?
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Yes
No
If Interested in Breeding Rights, please describe you program and your expectations.
Do you have any children? If so, what age(s)? This could also include grandchildren who would be around your puppy.
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What other pets do you have in your household? How old?
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Who will be the primary caregiver?
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Are All Members of your Household "On-board" with bringing home a puppy?
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Yes
No
Yes, but its a surprise
No, but its a surprise
Just Researching
What is your occupation? Your spouses?
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How do you foresee a high energy puppy fiting into your schedule and life?
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Do you rent or own your home?
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Rent
Own
How much indoor space will the puppy have? How much outdoor space?
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Do you have a preference for a male or female puppy?
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Do you have a color preference?
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Are you flexible on color and/or sex?
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Pricing and Policy Acknowledgement
Are you aware of our Pricing and Policies? If you are not aware of our pricing and policies, they can be found on the litter pages and in the Resources for New Owners. Pricing can also be found listed alongside each puppy on the Available Puppies Page.
Do you have questions you would like to ask me?
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How Did You Find Us?
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Google Search
Instagram
Facebook
Referral
Other
