eXTReMe Tracker
eXTReMe Tracker
Please answer all questions thoroughly.  We will use this application to identify the puppy that best suits your
family's needs and desires.  Once your application has been approved, you will be asked to submit a non
refundable deposit of $500.00 to hold your placement on our waiting list.  Your deposit will be applied to the
adoption fee of your puppy.   We will contact you within 24 hours of receipt of your application.

All of our puppies are sold as desexed pet companions unless otherwise requested, please note that breeding
puppies are sold on limited contracts and at a much higher fee and should be reserved well in advance.
Name/s:
Address:
City:
State:
Zipcode:
Home Telephone:
 Alternate Telephone:
Occupation/s:
Do you own or rent your home?
 Is your yard fenced?
Dog Preferences (please note limiting your selections to certain genders or colors may lengthen your wait)
Rank Importance with 1 being most important
Gender:
Color:
Coat Type:
Size:
Personality (Tell me about your
perfect dog)
Puppy Info
Do you plan on obedience training your dog?
How many hours a day will your puppy be home alone?
Does everyone want a dog?
Are you prepared to care for a dog for 15 years?
Have you ever relinquished a dog to an animal shelter?
Tell me about the children in your home (if any) and have they ever been around a puppy/dog?
Why sort of life style do you live?
What other animals do you own?
Will your dog be trained to provide
a special service? Explain
Why do you want a dog?
Will your dog be left outside?
When would you like to add a puppy to your family?
How did you hear about us?
What is the name of your Veterinarian?
What is your Veterinarian's telephone number?
Email Address:
Other questions or comments, things you would like us to know
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Kendra Vestal
Contact Us
Noblesville, Indiana
(317) 770 7418
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