Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

What breed are you looking for? *

Golden Retriever

Standard Poodle

Goldendoodle

Bernedoodle

What age would you be okay with? *

Less than 1 year of age

1-3 years of age

4-8 years of age

9+ years of age

What gender do you prefer? *

Female Only

Male Only

Open to Either Gender

What shed level do you prefer? *

Minimal to non-shedding

Non-shedding to Moderate shedding is okay

Shedding doesn't bother me (okay with any level)

Do you work from home? *

Yes

No

Sometimes

Do you have a fenced in yard? *

Yes

No

No, but have electric fencing

No, but will consider getting fencing if needed for my new dog

Do you have cats or plan to have cats in the future? *

Yes

No

Do you have other small animals that will interact with your new dog? *

Yes

No

What activity level are you okay with? (Higher energy dogs if given appropriate play still settle down but these dogs do require more exercise/play) *

Low energy

Moderate energy

High energy

What purchase price are you able to consider for your new dog? *

$500

$1000

$1500

$2000

$2500

$3000

$3500