Adoption Application

First name(s)

Last name(s)

Address

Phone

Do you rent or own?

Rent

Own

Describe your yard situation, including any pools/water

How many adults/children are in the home? What are the children's ages?

Does anyone in the household have severe dog allergies?

List the current pets living in your home, including breed, age, and spayed/neutered status.

How long will your puppy be left alone during the day? What are your plans for potty training?

What size, energy level, and coat preference are you looking for?

Commitment - I am prepared and able to provide veterinary and grooming services

Non-refundable deposit acknowledgement: If you require a waitlist or reservation deposit those monies will be applied to your purchases, but are strictly non-refundable.

If at any point I am not able to keep the puppy, the Breeder has first right of refusal. The dog will never be surrendered to a shelter facility.

Signature

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