Name *

First Name

Last Name

Phone *

(###)

###

####

Preferred Contact *

E-mail

Call

Text

Best Time to Contact You *

Morning

Afternoon

Evening

Anytime

Best Days to Contact You *

Weekdays

Weekends

Anytime

Gender *

Male

Female

No Preference

Coat *

Red Merle

Red Tri-Color

No Preference

What type of home do you live in? *

House

Apartment

Farm

Do you have a fenced yard or nearby outdoor space for exercise and play? *

Not a deal breaker, but good for us to know!

Yes

No

Do you plan on crate training? *

If not, we highly recommend it and can provide assistance. But ultimately your choice.

Yes

No

Are you prepared to invest time in training and socializing your new pet? *

Yes

No

Do you have access to veterinary care and plan on performing regular check-ups? *

Yes

No

Are you committed to providing lifelong care for your new pet, even if your living situation changes? *

Yes

No

What is your primary reason for adding a new pet to your family? *

Companionship

Family Pet

Working Dog

Therapy Dog

Breeding

When are you ready to home your furry companion? *

Estimated Date

MM

DD

YYYY