* City/State/Zip

* How many members does your family have and what are their approximate ages?
(Ex:4 adults, three children ages 8, 10, 14)

* What is your occupations and hours of work?

* Do you live in a House. Apartment, Condo,Mobile Home?
Do you Rent or Own?

* If you, rent has your landlord agreed in writing to allow you to have a dog on the premises?
Yes llllllll No

* How long have you lived at your present address?

* Do you have a securely fenced in yard?

If not, how do you plan to keep the puppy from roaming, being run over by an automobile, or being stolen?

* Do you have a swimming pool? If yes, is it fenced in?

* Does anyone in your family have allergies? If yes, what kind of allergies do they have?

* Have you ever owned a dog before? If Yes, For How Long, what Breed?

Who did you obtain it from? Breeder, Pet store, Rescue, shelter, Other?

What happened to it? If deceased, how did it die?

* Are there any other dogs in residence, in your family at this time?
If so, which breeds and what are their approximate ages?

* Do you have cats?
Yes llllllll No

* Are you interested in a male or Female? Please specify color preference as well.

* Do you understand the health risks of the this Breed?

* Please indicate your following interest: Conformation, Obedience, Family Pet, Other, Specify

* Are you prepared to have a pet/companion puppy spayed/neutered? If not, please list reason?

* Are you willing to return the puppy to the breeder should some unforeseen circumstance arise and you would no longer be able to keep the puppy?

* If interested in s Show/Breeding Prospect, Please list any experience with Breeds, Show Records. welping experience Etc...

* In your own words, please describe why you want a puppy.

* Do you have a regular veterinarian?
If yes, please list name, address, and telephone number.

Is there a Particular Puppy you are interested in that is on our website? If so Please specify name.