Puppy Interest Form

Temecula, Ca.

+1 (760) 703-6436

First and Last Name

Email

Phone

Home Address

When would you like a puppy to join your family?

How many hours a day will your puppy be left alone?

My lifestyle is best described as:

How did you hear about us?

Please share a little about your home environment. Pets, children, work status, home/apartment, rent/own, yard/no yard?

Plans for your puppy:

Family Pet

Service Dog

Breeding

Other

Please check your preferences in gender and color.

Male

Female

No Preference

Tri Color

Phantom

Merle

Red/Apricot

Thanks for submitting!

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