Puppy Application

Today's date is

Full Name(Required)

Email(Required)

Address(Required)

City State / Province / Region ZIP / Postal Code

Phone(Required)

Do you have a farm?

Yes

Will the dog be working on your farm protecting animals?

Yes

What type of animals will your dogs be protecting?

Do you have kids? If so, what are their ages?

Age and Occupation

Are you interested in showing or breeding?

Are you willing to provide proper nutritional and veterinary care?

Veterinarian name and phone number

Are you willing to provide lifetime care, love, and support for the dog?

If for whatever reason you are unable to keep the dog, are you willing to return he/she?

Do you understand that if you place a deposit to reserve a puppy, it is nonrefundable?(Required)