If you are interested in reserving a puppy or would like to be placed on our waiting list, please complete the form below. If accepted we require a $200 deposit at time of reservation. This will hold your puppy until it is old enough to leave.

Adoption Application

Your Name Address:

Your email address:

Referred by:

Name, address and phone number of your veterinarian:

Who will be the primary care giver?

Where will the puppy be kept during the night?

Where will the puppy be kept during the day?

Is anyone home during the day?Yes No

How many hours on the average will the puppy be left alone?

Have you ever owned a dog before?Yes No

Do you have any children? Yes No If yes, what are their ages.

Are you interested in a male or female puppy? Male Female No_Preference

At what age do you wish to get the puppy? 2_6_ Mos 6 mos_1_ Year Doesnt_ Matter

How will he be confined when he is outside?

Do you have a fenced yard ?Yes No

Have you ever returned a pet to the breeder?Yes No If so, what were the circumstances?

Have you ever given a pet away? Yes No If so, what were the circumstances?

Do you intend to breed the dog?Yes No

Do you understand the difference between a limited registration and a full registration?

No yes

Any additional information or comments you would like us to consider?