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Your Name*

Your Email*

Your Phone Number*

Your Physical Address*

Preferred Puppy Gender*
---MaleFemaleDoes Not MatterUndecided

Preferred Puppy Color*
---YellowChocolateBlackDoes Not Matter

Does anyone in your household suffer from pet allergies?*
NoYes

I plan on having this puppy for*
Companion PetHunting DogService Dog WorkTherapy Dog WorkShow Dog (Conformation, Agility, Competitive Obedience, Dock Diving)BreedingSchool DogOther Facilities Dog

Preferred Puppy Personality*
---AssertiveConfidentReservedUnsureI'd like help finding the right fit.

I would describe my lifestyle as*
Very ActiveMildly ActiveRarely Active

How many hours will your dog be left at home alone?
---8+ Hours5-8 Hours2-5 HoursLess Than 2 Hours

Will this be your first dog?
---YesNo

Do you have other pets? If so, please describe below:

Do you have children? If so, please describe below:

Please describe anything else related to what you are looking for and wanting from your new dog: