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

Does any member of your household have dog allergies? *

Yes

No

Does any member of your household smoke? *

Yes

Not

Not Sure

Describe your living situation *

Own Home

Rent Home

Other

Do you have a fenced backyard? *

Yes

No

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

Yes

No

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

Yes

No

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

Yes

No

Do you have any experience with owning an intact dog? *

Yes

No

Do you understand and agree to provide pet insurance for the dog? *

Yes

No

Are you willing to train the puppy in basic obedience? *

Yes

No

Do you agree to take proper care of the puppy/dog and keep them well groomed, fed and exercised? *

Yes

No

Do you agree to bring the dog to my home when I need him/her for breeding or raising puppies? *

Yes

No

Do you understand that to prevent confusion in our breeding program, it is necessary for the puppy name to be approved by Liebe Doodles? *

Yes

No

Do you agree to provide Liebe Doodles a copy of all shot records? *

Yes

No

Check this box as an acknowledgement of agreement with Liebe Doodles *

Agree

Do not agree