Your name
Your email
Breed for which you are applying
Preferred Size(s) 10 - 25 pounds25 - 40 pounds40 - 55 pounds55+ pounds
Preferred Gender malefemaleeither is fine
Preferred color (check all that apply) ApricotBlackChocolateParti-color (multi)RedSilverBlueTanWhite/creamYellowTri Color
Preferred coat type (doodles only) Straight (flat)Wavy (shaggy)Curly (wooly)
Puppy Activity Level? ActiveModerateMellow
Other pets in your home? yesno
Do you or your family have dog related allergies? NoneMildSevere
Children at your home? yesno
If so, what ages?
Fenced Yard? yesno
Why are you looking for a puppy now
Is this your first puppy? yesno
Your message (optional)
YES! Put me on the list
