Intake form

Name *

Email address *

What breed are you interested in?

Please select at least one option.

Labrador Retriever

Golden Retriever

German Shepherd

Bulldog

Beagle

Poodle

Rottweiler

Yorkshire Terrier

Dachshund

Boxer

What is your preferred method of contact?

Do you have any previous experience with dog ownership?

What is your living situation?

How many hours will the dog spend alone each day?

What is your intended purpose for the dog?

Please select at least one option.

Companion

Working dog

Show dog

Service dog

Are you interested in a specific gender?

What age range are you looking for?

Additional questions or comments

Dog Breeding and Touching