questionaire

How were you referred to us?
Why did you choose to contact our kennel?
Name:
Age:
Address:
Married or single?
Any children in household? How many and ages?
Occupation:
Email Address:
Why are you interested in this breed?
Are you interested in a current breeding or pup we have available, or would you like to be put on a waiting list for a particular breeding?
What are you looking for?	Male Female No preference
What color are you looking for?	Red Red/White Blue Fawn Blue Blue brindle Any brindle other than blue Other No preference
What are your plans for this pup/dog?	Showing/breeding Breeding only Weight Pull Obedience/Rally Agility Pet only (means no breeding rights)
How do you plan to keep this pup/dog?	In house Kenneled Chained Fenced Yard Combination such as house/fenced yard
Do you own your property or rent? If you rent, do you have permission from your landlord to own this breed? And if so, provide landlord's number for verification.
What type of dwelling do you live in?	Home with land Apartment Other
How many animals do you currently own and what kind?
Provide current vet's information or a vet you plan to use. Be prepared to furnish us with a copy of vet records upon request if you purchase from us.
If pup/dog needs to be shipped, what is the name of the nearest airport pets are allowed to come in?

create web form