Applications | Choice Paws™

First Name*

Last Name*

Address (Street line-1)*

Address (Street line-2)*

City*

State / Province*

Postal / Zip Code*

Phone Number (Area Code)*

Phone Number*

Email*

Which breed are you interested in? *

Which gender do you prefer? *

Who will be taking care of the puppy? *

Will someone be home during the day? *

How many people live in your household? *

Do you live in a house or apartment/condo? *

Do you own or rent? *

If you live in a house, is your yard fenced? *

Do you have a doggy door?*

Do you have other animals? If so, which ones?

Will you spay or neuter the puppy before 7 months old? *

Will you bring the puppy back to us if you are unable to take care of it? *

Will you be picking your puppy up?*