Application 

Name:

Occupation:


Do you own or rent?
Do you have landlord permission if you rent?
Do you have a fenced yard?
Will you be willing to hire a dog walker if no one is at home?
Are you willing to pay for grooming and vet bills?
Is there a groomer, vet, and dog walker near you?
Do you have a specific timeframe for picking up your new puppy?


Describe your family?  (Active, outgoing, always on the move, home all day, sedentary, disabled, etc.) 
Children, # and ages:
Previous/current dog breeds owned:
How many dogs currently in the household:
Age of dogs:
Spayed/neutered:
What happened to any dogs that you no longer own:

About the Dog
Prefer male or female?
Why are you interested in this breed?

What concerns do you have about this breed?


Dog activities you are interested in:
Dog activities you participate in:
Are you looking for a performance dog:
If so, What type of performance:

Can you come to pick up a puppy in person? Or will you need ground transport?
Will you trust me to chose a puppy that fits your family and needs?
Will you return the puppy if you, for any reason, cannot keep it?