Puppy Application

Name of dog(s) you are interested in: (required)

Your Name: (required)

Your Address: (required)

Your Phone Number: (required)

Your Email: (required)

How many people in your family? (required)

What type of residence do you currently live in? (required)

Does your yard have a fence, if you have a yard? (required)

Do you understand that you must have your puppy spayed/neutered by 12 months? (required)

Vet Reference Name?

Vet Reference Phone Number?

Are you willing to come to Northern Virginia to pick up your puppy? (We are not delivering puppies at this time. We can meet you at the following airports for no charge: Washington National (DCA), Washington Dulles (IAD), or Richmond (RIC). We can also meet at Baltimore/Washington (BWI) for a $100 additional fee. (required)

Do you have any other pets? Or previous pet experience (Please explain)? (required)

What's a typical day for you and your family? How many hours will the puppy be left alone? Where will he/she spend the day/night? (required)

Note: We accept PayPal and certified checks. Payment in full must be received by puppies 6th week. A 3% fee will be charged for PayPal.

You should receive a copy of your application to the email address you provided. If you do not receive your copy of the application within 24 hours, check the email address you provided.