Your Name:
Your Location:
Daytime Phone Number:
Email Address:

Interested in:
Goldendoodle Labradoodle
Male Female
Color/coat preference, if any:

Do you live in house with a securely fenced yard?
Yes No

Is someone home for part of the day to care for your puppy?
Yes No

Do all family members share the decision to adopt a puppy?
Yes No

Can you afford to feed your puppy and take care of any veterinary bills?
Yes No

Are you ready to make a life-long committment to your puppy?
Yes No

Have you ever surrendered your pet to an animal shelter or rescue?
Yes No

Please provide 2 references, preferably veterinarian, groomer, pet sitter or other person involved in pet care.
1. Name Occupation
Ph

2. Name Occupation
Ph

Additional Comments: