First name *

Last name *

Country / Region *Canada

Street address *

Town / City *

Postcode / ZIP *

Email address *

Have you raised a dog from puppyhood before? * yes no

Please tell us why you are interested in a puppy/dog * *

What breed are you interested in? *Old English BulldogPomeranianFrench BulldogNo preference

what is your primary reason for purchasing a puppy/dog?* *

will this be you or your family's first puppy together?* * Yes No

please tell us about the breeds, gender, and ages of dogs you currently own or have previously owned.* *

what other pets/livestock do you have?* *

please indicate your preference for puppy gender.* * Male Female No Preference

do you have a coat color preference? Yes or No * *

of the following, which is most important to you for puppy selection?* *Coat Color Temperament/Energy level Gender

we try to match a puppy's temperament and energy level to the potential puppy buyer's needs. Are you willing to accept a puppy match regardless of the puppy's coat color or gender ?* * Yes No Maybe

please describe the personality/temperament traits and energy level you are looking for in a puppy (optional)

please briefly tell us a little about yourself, your family, and lifestyle as it relates to life with a puppy/dog* *

how many people live in your home? what ages?* *

is there anyone in your home that does not want a puppy?* * Yes No

what type of home do you have?* *Single family homeApartmentCondoTownhomeOther

do you rent or own your home?* *Rent Own Lease

have you ever had to rehome a pet? if yes, please describe* *

how much time do you spend away from home and what arrangements will be made for your puppy's care, exercise, containment, etc when you are away from home?* *

are you willing to provide the names and contact information for 2 references not related to you (optional)

vet's phone number (optional)

vet's name (optional)

vet's street address (optional)

vet's city (optional)

vet's province/state (optional)

vet's country (optional)

more information (optional)