I understand that the puppy must be picked up. neither shipping nor ground transport available
yes
no
are you over 18 years of age?
yes
no
Name, address, phone (to call and talk with you) e-mail
Referred by? What reference materials have you read? How many do you know
Type of dwelling:
house
condo
apartment
Name, address and phone # of your vet Or vet that you plan to use
Who will be the primary care giver? Where will the puppy be kept during the night?
Where will the puppy be kept during the day? Is anyone home during the day?
How many hours on the average will the puppy be left alone?
Will there be someone available to feed and exercise the puppy during the day?
Have you ever owned a dog before? Do you have any other animals?
Do you have any children? If yes, what are their ages. Does anyone in your household have allergie
Are you interested in a male or female puppy? At what age do you wish to get the puppy?
male
female
either
would you consider an older puppy? 5 moths-12 months
yes
no
would you consider a young adult? 1-3 years
yes
no
would you consider a special needs/possible special needs? for free
yes
no
What do you expect the activity level of this breed to be
high
med
low
What kind of floor surfaces will the dog be on in the house?
Do you have a fenced yard if so what kind?
Have you ever house trained a dog before? Will you be attending any training classes?
How long did your last pet live? What were the circumstances of its' death?
Have you ever returned a pet to the breeder? If so, what were the circumstances?
Have you ever taken a pet to a pound or shelter? If so, what were the circumstances?
Are you interested in conformation showing? Have you ever shown a dog to it's championship?
Are you interested in competition in performance events such as obedience, agility, etc.?
yes
no, just a pet
Do you intend to breed dogs?
yes
no
do you agree to alter (spay/neuter) if you are buying a pet?
yes
no
Do you understand the difference between a limited registration and a full registration and without?
yes
no
Have you read our health guarantee and agree to abide by it?
yes
no
Have you read our Health Concerns and Testing page? and understand them?
yes
no
I understand that if I can not keep the dog/pup. it will be returned to the breeder with no refund
yes
no
I agree that the pup will never be turned into recuse, shelter or pound
yes
no
are you buying for laboratory use?
yes
no
are you buying for a anti-breeder agenda?
yes
no
are you buying to brokering/resell?
yes
no
are you buying for any malicious intent?
yes
no
are you willing to work with the breeder if something arises?
yes
no
By sending us this application and purchasing a pup you agree that falsifying any information
including but not limited to, name, address, reasons for purchasing, or rehoming without approval
will be open to a lawsuit with a penalty of no less then five thousand dollars plus court costs.
have you read the falsehood/rehoming penalty statement above?
yes, i am a truthful person!
no, i am evil
Is there a particular puppy on our site you are interested in? if so, what is the name?
did you leave phone number?? i NEED that to contact you!!