Puppy Appplication

Puppy Application

* Indicates required field

Name *

First

Last

State residing in *

If Other please specify: *

Own Rent or other? *

Own Rent live with parents or others

Do you have children at home? *

Yes No

ages of children at home *

0-5 yrs old 6-10 yrs old 11-17 yrs old over 18 yrs old

Email *

Phone Number *

Do you want a Male or Female puppy *

Male Female not picky maybe one of BOTH!

owned ShihTzu before? Size? *

Yes over 9 lbs Yes 6-9 lbs Yes under 6 lbs No, but I want to!!

Do you have a fenced in yard? *

Yes No working on it

Will your pup be an inside or outside dog? *

Inside Outside some of each

Please tell us a bit about your homelife *

Submit