I have completely read and agree to the purchase agreement and health guarantee *

I agree

Name *

First Name

Last Name

Phone *

(###)

###

####

Todays date *

MM

DD

YYYY

Gender Preference *

Male

Female

No Preference

Do you have any other pets? *

Yes

No

Have you raised a puppy before? *

Yes

No

Do you understand the time it takes to raise a puppy? *

Yes

No

Do you understand the expense of having a dog? Food, veterinary care, emergency care, ETC. *

Yes

No

Do you have children living in the home? *

Yes

No

Do you have a fenced yard? *

Yes

No

Other

Have you ever surrendered a dog to a shelter or back to the breeder? *

Yes

No

Do you need transportation services *

Yes

No