Your name:
Your email address:
Your street address:
City, state zipcode:
Your phone number:
Referred by:
Sex & color preferred:
Are you looking for an
adult or a puppy:
Ages of Children in your
home:
Current pets and their ages:
Previous pets:
Who will be the primary
caregiver:
Who will care for the dog
while you are on vacation
and while you are at work:
Do you own your home
and is your yard fenced:
Do you plan to crate train
your puppy:
Do you plan to take your
puppy to obedience classes:
Would you be interested in
showing your puppy:
Thank you for taking the time to answer our questionnaire.  
This will help us to find the best puppy for your family!  Any
questions you may have or any additional information you
would like for us to know, please type in the comment box
below.  We will get back to you as soon as possible!  Thank
you!
Comments:
                           We currently have puppies as well as adults available to both show and companion homes.                            
    If you are interested, please fill out the questionnaire below and we will be in contact with you.