Application

* Indicates required field

Name *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Gender Preference *

Male Female Either

Preferred Color *

Red & White Sable & White Red Headed Tri Black Headed Tri No Preference

Plans *

Companion Conformation Events Performance (OB/Rally/Agility) Breeding

Do you have any dogs now? *

Yes No

Where will the puppy be spending most of it's time *

FIrst Time Dog Owner *

Yes No

If you've had dogs in the past what happened to them? *

Are You Aware This Is A 12-15 year commitment? *

Yes

Submit