Family Bio
Name
Address
City
State
Zipcode
Phone
Email
Gender of Dog Requested ---FemaleMaleNo preference
Type of Dog Requested ---Cocker SpanielGolden RetrieverViszla
How were you referred to us?
Have you had pets before? If so, canine or feline?
Where do you live? ---HouseCondoApartmentRural Area
Do you have a fenced in yard? ---YesNo
How many children do you have? Ages? Male or Female?
If none, do you plan on having children? ---YesNo
Have your children been around animals? ---YesNo
Do you have any other animals now? If so, what breed and how old are they?
Describe the personality of your other pets:
Describe the activity level at your home:
Describe the personality of your family:
Have you ever completed an obedience course? ---YesNo
Do you plan on enrolling your new puppy in a formal obedience class? ---YesNo
Do you plan on using a dog crate? ---YesNo
What other experience do you bring to pet ownership?
Additional notes to aid us in matching the best puppy to your home:
