*Note:  Please realize that completing this questionnaire is in no way a committment on your part to purchase a puppy from us, or on our part to place a puppy in your home.  It is simply a way to get to know you better.

 

Name:                            

Address:                         

City, State/Prov              

Phone Number:              

Your email address:      

How did you hear about us?  

Are you looking for a                    Male  or      Female?   

                                                     Puppy  or    Older Dog?

                                                     Dog with tail?  or    Dog without tail?

What specific qualities are you looking for in a dog?  What are your goals for this dog?

Tell us about your family:  
How many adults live in your home? 
How many children?  Ages of children
How many dogs live with you now?  
Any other pets?      

Tell us about your lifestyle, work schedules etc.

Tell us about your home:
Is the area that you live in Rural   Suburban   City?
Do you Own or  Rent?
Will the dogs live Indoors or Outdoors?
Will this dog have access to a fenced yard?     Yes   No
Are you comfortable crate training your pup?  Yes   No

Tell us about your experience with dogs.  List all dogs you have owned and what happened to them.
List any dog-related clubs you belong to.  List any titles that you and your dogs have achieved.

Are you willing to abide by a written contract?  
Do you have contract questions? 

Please provide us with two references. 
If you have previously owned a dog, one of the references must be a breeder, veterinarian, or trainer.

Are you willing to travel to pick your puppy up?   Yes   No

If we do not have anything available that will meet your needs, can we forward this application to 
another reputable breeder?    Yes   No