New Owener Screening

If you are interested in purchasing a puppy or dog from us, please fill out this form and we will contact you.
Full Name:
Phone #:
Email:
Preferred form of contact:
Street Address:
City:
State:
Your Age:
Which breeding are you interested in?:
Are you ready to put down a deposit for a puppy?:
Do you live in a:
Do you Own or Rent?:
If you rent, what is your landlord's phone #:
Do you have a yard? Is it fenced?:
Where will the dog be kept?:
How many hours at most a day do you work?:
Have you ever been convicted of animal cruelty?:
Have you ever owned an APBT?:
Past pets and what happened to them?:
Have you ever lost an animal?:
Do you have other animals? What kinds and how many?:
How many people live with you? What are their ages?: