Our Precious Pups

Puppy Application

    (*) are required fields

    There are no wrong answers, this application just helps give us an idea about you and your family.

    First Name (required)

    Last Name(required)

    Address *

    Address 2

    City *

    State *

    Zipcode *

    Phone *

    E-mail *

    How did you find us? * (please be more specific than "the internet")

    Do you rent or own your home? *

    Do you have a fenced yard? *

    Do you work full time or part time or from home? *

    Where will puppy be while you are away? *


    What breed are you interested in? *

    What gender? *


    Raising a puppy takes a lot of time and energy. Are you willing to accept this responsibility? *

    YesNoNot sure


    Do you have other pets? *


    If yes, tell us about them. How many, what breed, and ages.


    Are you wanting this puppy for just a family pet or possible breeder? *


    If issues arise and you are unable to care for this puppy, do you agree to contact me in regards to placing the puppy back with me or with helping find the puppy a new permanent home? *

    Enter the code below: *

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