Family Profile Form
Use this form to tell us about yourself and your family. This will help us get a better feel for what you want in a puppy, and help us find the right pup for you from our litter.

Your comments are appreciated!

Personal Information

Name:

Email Address:

City, State, Zip

Telephone Number

Household Situation



Describe Your Home ( apt, single level home, duplex ect )

How Many Adults In The Home ?

How Many Children Under 18 ? ( please list children and ages )

Fenced Yard ? 


How Many Hours Is Someone Home ?

Where Will The Puppy Live Primarily ?

Other Pets In The Home ? Please List Pets, Also If They Are Spayed/Neutered

Previous Pets and What Happened To Them

Are You Willing To Provide A Vet Reference and/or Personal References

Puppy Information

Which breeding are you interested in ( List dogs names)


Sex

Type


Color

Second Choice Color

Please click submit button when finished, or reset to start over.

 

 

 

 

 

 

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