Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Preferred Method of Contact?

Email

Phone

Text

Describe Your Living Situation?

Own Home

Rent Home

Other

Do you have a fenced backyard?

Yes

No

Do you have other pets/animals of any kind? *

Yes

No

Are your other dog(s) spayed and neutered? *

Yes

No

I don't have any other dogs

Have you ever given up a pet/dog (rehoused, taken to the shelter)?

Yes

No

In what time frame are you considering adding a puppy to your family?

ASAP

2-3 Months

4-6 Months

No Rush

Do you have a gender preference? *

No Preference

Male

Female

What colour(s) do you prefer?

No Preference

Red

Apricot

Cream

Black

Chocolate

Merle

Parti

Will you take the puppy to obedience classes? *

Yes

No

Will you crate train your puppy? *

Yes

Not

Not Sure

Are you able to commit the time and responsibility to care for a puppy (grooming, exercise, training)? *

Yes

No

We require if you are ever unable to care for the dog for any reason, you will return it to Liebe Doodles. Do you agree to this policy? *

Yes

No