Puppy Reservation Form

Ephrata, PA 17522

We are committed to finding the right families and homes for each of our pups and the right pup for each home. This match is very important in promoting a thriving and close relationship between pup and owner for years to come. Your application helps us in this process.

First Name

Last Name

Address

City, State and ZIP Code

Phone

Can I text you at this number?

Yes

Preference - Male or Female

Male

Female

No Preference

Describe your home environment: family with children (ages?) | couple | single.

Your lifestyle and work - Is anyone available to care for the pup during the day?

Exercise Plans for the pup? Access to play areas, fenced in yard, etc?

Have you raised a puppy or lived with a dog before? Breed?

Any current pets?

Do you plan to further the pup's socialization and training with obedience classes?

We will be in touch soon to confirm your reservation!

Thank you for sharing! This process of learning about you helps us in finding the best pup for you.

We will be in touch soon to discuss puppy options!