Today's Date *

MM

DD

YYYY

Your Full Name *

First Name

Last Name

Your Phone Number *

(###)

###

####

Are you interested in male or female? *

Male

Female

No preference

Do you want the ears cropped? *

Yes

No

Unsure, please provide more information about this

How would you like to receive your puppy? *

Please ship the puppy to me

Please deliver the puppy to me

I will pick up the puppy

Are you able to attend training classes? *

Yes

No

Unsure, please provide more information

Have you ever owned a Giant breed before? *

If you are not interested in a Giant breed, choose not interested.

Yes

No

Not interested

Do you know how to potty train a puppy? *

Yes, I am prepared for this

No, I need more information to prepare for this

Do you have other pets? *

Yes

No

Will the puppy be an inside puppy? *

Yes

No

If you are expecting, or going to have a child, are you prepared to INCLUDE your puppy as part of the family? *

Yes

No

We are not expecting or going to have a child

Are you prepared for the puppy stage? *

Yes, I am prepared for this

No, I need more information to prepare for this

Do you understand that puppies have high energy up to AT LEAST one year of age? *

Yes, I am prepared for this

No, I need more information to prepare for this

Do you agree to keep the dog on heartworm and flea preventative? *

Yes

No

I need more information

Do you agree to keep the dog on high quality food, its whole life, and NO puppy food? *

Yes

No

I need more information

Do you understand that you may NEVER sell or rehome this puppy? *

Yes

No

I need more information

Do you understand we have a legal and binding contract on this puppy? *

Yes

No

I need more information