Application Form

This is just the start to our application process. I will contact you for a more personal conversation either by phone or facetime. I care deeply about the placements of our puppies and as I am open sometimes to placing with a likeminded breeder our puppies are placed primarily in loving & responsible pet homes.

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Which puppy or litter are you applying for: *

Your Name *

First

Last

Email *

Phone *

Address

Address Line 1

Address Line 2

City

— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Your Occupation

Housing Situation

• Owner
• Renter

Are you allowed to have dogs in your home?YesNo

Are there children living in your home?

• Yes
• No

Dog Living ConditionsIndoor OnlyIndoor/OutdoorOutdoor Only

Will your dog be allowed on furniture?

• Yes
• No

Do you have other pets?NoneDog(s)Cat(s)Bird(s)Rodent(s)Reptile(s)

Is your yard shared?

• No
• Yes

your Do home

Is your yard fenced?

• Yes
• No
• Partially

Do you have a swimming pool?

• Yes
• No

How often are you home each day?1-5 hours6-12 hours13-24 hours

Vet Phone

Submit