Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

This Questionnaire does not guarantee availability. However, I will use your responses to create a preliminary litter list PRIOR to being born, so if you are NOT READY please let me know on this questionnaire. If we have availability for the litter, gender, and coat colors you are interested in are you ready for a puppy ready to go home in end of August-early October 2022 timeframe depending on which litter? If yes, please check all litters you would be interested in receiving a puppy from. *

Madeline & Finnley

Amelia & Milo

Not Ready

Are you interested in Male, Female, or either? *

Male Only

Female Only

Either Gender Okay, Highest Selection Position Preferred

Either Gender Okay, Female Preferred

Either Gender Okay, Male Preferred

What Coat Colors Do You Prefer? Please check all that you would be okay with! See color examples below - Solid coats do not have any white & are solid in color. Abstract coats have some white and the amount of white will vary with each puppy. Parti coats have lots of white, with various color markings throughout the coat. *

Cream

Golden/Apricot Solid Coat

Golden/Apricot Abstract

Red Solid Coat

Red Abstract

Golden/Apricot-Red & White Parti

Brown Solid Coat

Brown Abstract

Brown & White Parti

Black Solid Coat

Black Abstract

Black & White Parti

Black Phantom Solid Coat

Black Phantom Abstract

Phantom Parti = Tricolor

Sable Solid Coat

Sable Abstract

Sable Parti

Chocolate Phantom Solid Coat

Chocolate Phantom Abstract Coat

Silver Phantom Solid Coat

Silver Phantom Abstract Coat

Brown Phantom

What Are Your Plans for Pickup? *

I plan to pickup my puppy at your home in Jefferson, NC

I will need to fly into pick up my puppy & have you meet me at the airport (CLT or GSO)