Full Name

  Address

  City

Select...AlaskaAlabamaArkansasArizonaCaliforniaColoradoConnecticutDistrict of ColumbiaDelawareFloridaGeorgiaHawaiiIowaIdahoIllinoisIndianaKansasKentuckyLouisianaMassachusettsMarylandMaineMichiganMinnesotaMissouriMississippiMontanaNorth CarolinaNorth DakotaNebraskaNew HampshireNew JerseyNew MexicoNevadaNew YorkOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontWashingtonWisconsinWest VirginiaWyoming   State

  Zip Code

  Phone Number

  Cell Number

  Email Address

Number of Family Members?
Select... 1 2 3 4 5 6 or more

Number of Children?
Select... 0 1 2 3 4 5 6 or more

Any Family Allergies?
  Yes
  No

If Yes, Please Describe:

Do You Have a Yard?
  Yes
  No

If Yes, is it Fenced?
  Yes
  No

Do You Currently Have Pets?
  Yes
  No

If Yes, Please Describe Each:

If No, Have You Ever Owned A Dog?
  Yes
  No

WhatType of Labradoodle Are You Looking For?
Select... Sporting Dog Hunting Dog Show Dog Family Member Other

What Gender Are You Interested In?
Select... Male Female Doesn't Matter

Are You Looking for a Breeder Pup?
  Yes
  No

What Size Are You Interested Iin?
Select... Medium (25-45 lbs.) Standard (45-85 lbs.) Doesn't Matter

What Type of Coat Are You Interested In?
Select... Curly Hair Wavy Hair Wool Type Doesn't Matter

What Color Are You Interested In?
Select... Apricot Black Blazed Blue Chocolate Cream Red White Doesn't Matter

Where Do You Plan to Keep Your Labradoodle?
 Mostly Outside
  Mostly Inside
 Even Amounts of Both

Additional Comments:

Please verify that the information you entered above is correct. Once we receive your completed information, we will contact you within several business days to let you know of our current availability. If you are eligible for adoption, there is a deposit required to hold your puppy until it is ready to be placed in your home.

I Verify That The Information I Have Entered Above Is Correct?
  Yes