Adoption Form

Your name

Your email

Your phone

Do you prefer a phone call or a text?
Select oneEitherPhone CallText

Your address

Are you older than 18?
Select oneOlder than 18Younger than 18

Will this be your first dog as an adult?
Select oneYesNo

Have you ever had a sick dog? If so, what happened?

Have you ever put a dog in a shelter? If so, what happened?

Who else lives in the home? How old are the children?

Will your puppy be alone during the day?
Select oneYesNo

Do you have a pool or live on a lake?
Select oneYesNo

Is your yard fenced?
Select oneYesNo

Do you live in a house, apartment or condo?
Select oneHouseApartmentCondoOther

Does anyone in your home have allergies to dogs?
Select oneYesNo

Do you have to have a dog that is 100% hypoallergenic?
Select oneYesNo

Who will the dog be spending the most time with?

Are you looking to purchase right now?
Select oneYesNo

Is there a particular dog that you are interested in?
Select oneYesNo

Do you have a preference as far as a male or a female?
Select oneMaleFemale

Do you know what size you want?

Are you holistically inclined? Can you elaborate on that?

Do you think vaccinations harm our children and our pets?

Are you willing to use a holistic veterinarian?
Select oneYesNo

Is there anything else you think I should know about you?