Adoption Application

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Does anyone in your family suffer from dog-related allergies? *

Yes

No

If you are interested in a particular litter, please select the names of the parents

Bailey

Ozzie

Chase

Chelsea

Livy

Lulu

Sadie

What size do you prefer?

Miniature (under 30 pounds)

Medium (30–50 pounds)

What gender do you prefer?

(Choosing "I am flexible" could mean you receive a puppy sooner, depending on availability.)

Male

Female

I am flexible

We offer guardian dogs.

Please send me more information about becoming a guardian family.

Do you have children? *

Yes

No

Do you have other pets? *

Yes

No

Will this be a service animal? *

Yes

No

Do you need a link to a sample contract? *

Yes

No

Please indicate a good time to schedule your call-back *

Mon-Fri Mornings 10:00-12:00

Mon-Fri Afternoons 1:00-4:00

Mon-Fri Evenings 7:00-9:00

Other