Puppy Application Name*Email* Enter Email Confirm Email Phone*Address* Street Address City State / Province / Region ZIP / Postal Code How did you hear about us?* Friend/Neighbor Online Search Puppy Search Site Instagram Facebook/BlogWhat is the reason you are looking for a puppy?*Click all that apply. Pet Service Animal Therapy Dog Breeding PurposesWho will this puppy be for?* For myself For my family As a giftWho will be the primary caregiver of the puppy?*MyselfSpouseChildWhen are you looking to adopt a puppy?*NowIn the next 3-6 monthsIn the next 6-12 monthsIn the next 12+ monthsWhere will the puppy live?*HouseApartmentCondoMobile HomeDo you rent or own?*RentOwnHow much time do you expect the puppy to spend alone in your house during any given day?*0-4 hours4-8 hours8+ hoursDo you currently have any other pets?*YesNoIf you currently have a pet or pets please explain:*(how many and what breeds)Have you had pets in the past?* Never Cat (s) Dog (s) OtherIf you had pets in the past?*(how many and what breeds)If you currently have pets, or had pets on the past, how long have you had them?*1 year2-6 years6+ yearsHave you ever bred dogs in the past?*NeverVery limited breeding experienceMany breedingsPlease provide a reference:*What type of puppy are you looking for?*Questions/Comments? This iframe contains the logic required to handle Ajax powered Gravity Forms.