Application Form

Contact Details
Name*
First Last
Do you live with a Spouse or other adult in your home?
Name*
First Last
Email*
Phone*
Address*
Street Address Address Line 2 City State ZIP Code

Dog Preference Details
Gender*
- Any Gender
- Male
- Female
Color*
What is your color preference?
- No Preference
- Sable
- Red and White
- Tri

Home Life
Why are you interested in a new puppy?*
How soon are you looking to get a puppy?*
Have you ever owned a dog before?*
What dog breeds have you owned?
Will this be your first time raising a puppy?*
Do you have any other pets in the house?*
Please list the species, breed and age of other pets in your home.
Are there any kids in the home under 18?*
Ages of Kids
Do you live in a:*
Are you able to provide written consent for a medium size dog?*
Do you have a completely fenced in yard?*

Do you have a Vet?*
Who is your current Vet?
Will the puppy be an inside or outside dog?*
What are your work requirements?*
What's your Profession?*
How many hours will be puppy be left alone (without a potty break) each day?*
Please share with us about your family and lifestyle so we may match you with the perfect puppy.*
Have you or any one in the household ever been arrested, charged or convicted for animal cruelty or surrendered an animal to a shelter or rescue of any kind?*
Please explain.

Puppy Training
How will the puppy be trained?*
Are you planing on crate training your puppy?*
Other
Is this puppy being purchased as a surprise or gift for anyone?
- No
- YES and I need your help to pull off the surprise!
How did you hear about us?*

Ownership Commitment
Puppies will be available to go home at 8 weeks of age. Will you be able to take your puppy home on the scheduled Puppy Take Home day(s)?*
Will you be able to pick up your puppy in person in Oklawaha, Florida?*
We do not ship dogs out, however we can arrange for personal delivery for a fee if needed.
Are you comfortable with a breed that sheds moderately?*
Are you willing to provide us with updates from time to time?*
If yes, please list them.*
Do you plan on providing us with follow-up reports and photos from time to time?*
Of course with every puppy that goes to their new home, there is always a part of us that misses them.
Do you agree to contact us FIRST in the case that you need to re-home this puppy for whatever reason?*
We understand that certain situations can arise.
Do you understand that the puppy must be spayed/neutered on or before it reaches 12 months of age.*
Please provide any other relevant information you feel would assist us in placing a puppy in your home:
Do you have any other questions for us you’d like us to note?
Consent*
I understand.
Completing this application is the first step in the process to acquiring a puppy, but it does not guarantee I'll get a puppy from this or any future litter. While it's unlikely, the breeder reserves the right to refuse any placement at any time. I understand that puppies will help be matched based on each family's temperaments and lifestyle needs. If I am not satisfied with the chosen puppy by the breeder I may defer to a different/future litter. I know that once my application is approved, a non refundable reservation fee will be required for a puppy placement hold which will be applied towards the total cost of the reserved puppy. Deposit may be transferred to another litter. I also understand that a puppy contract will be signed on Puppy Pick Up Day.
Email
This field is for validation purposes and should be left unchanged.

Step 1 of 6

Contact Details

Dog Preference Details

Home Life

Puppy Training

Other

Ownership Commitment