Puppy Application

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Do you have any other pets? *

Yes

No

Have you had pets that are alive but no longer living with you? *

Yes

No

Are you interested in: *

Female only

Male only

Prefer female, would consider a male

Prefer male, would consider a female

No preference

What are you wanting a dog for? *

Check all that apply

Breeding

Family pet

Hunting

Show

Have you ever owned a WPG? *

Yes

No