First and Last Name

Phone

Email

Puppy’s Name/Breed*

Full Address (Street, City, State, Zip)*

Preferred Sex*
—Please choose an option—I'm set on FemaleI'm set on MaleNo Preferences(Temperament Matters Most)

What’s the soonest date you are looking to add your fur baby to your family?*

What should we know about you and your family?

Where can we connect with you on social media? We love sharing updates that way!*

Does anyone in your family have allergies?*
—Please choose an option—YesNoMild

How’d you hear about us?

Are you a breeder? Note: We do not sell breeding rights, except with special approval.*
—Please choose an option—No, I'm not a breederYes, I'm a breeder

I understand I’m not officially on the list until I’ve paid my deposit:*
—Please choose an option—I understand – I am paying Today